36D2231078 CLIA NUMBER - WALGREENS #07332

Laboratory Demographics

  • CLIA Code: 36D2231078
  • Facility Name: WALGREENS #07332
  • Facility Address: 904 COLUMBUS AVE
    LEBANON, OH
    ZIP 45036
  • Facility Phone: 513 934-1212
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE L. MITCHELL
  • NPI Number: 1336154376
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2231078
LAB Type Pharmacy
Facility Name WALGREENS #07332
Street 904 COLUMBUS AVE
City LEBANON
State OH
ZIP 45036
Phone 513 934-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director JAMIE L. MITCHELL

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This page was last updated on: 9/29/2025