36D2230899 CLIA NUMBER - WALGREENS #07941

Laboratory Demographics

CLIA Number: 36D2230899

Facility Name: WALGREENS #07941

Facility Address:
1400 MICHIGAN ST
SIDNEY, OH
ZIP 45365
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Facility Phone Number: 937 492-5340

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245245299

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	36D2230899
LAB Type	Pharmacy
Facility Name	WALGREENS #07941
Street	1400 MICHIGAN ST
City	SIDNEY
State	OH
ZIP	45365
Phone	937 492-5340
CertificateType	4
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024