36D2231156 CLIA NUMBER - WALGREENS #09669

Laboratory Demographics

  • CLIA Code: 36D2231156
  • Facility Name: WALGREENS #09669
  • Facility Address: 15 S MAIN ST
    HUBBARD, OH
    ZIP 44425
  • Facility Phone: 330 534-4519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENT D. GROSCOST
  • NPI Number: 1902979859
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2231156
LAB Type Pharmacy
Facility Name WALGREENS #09669
Street 15 S MAIN ST
City HUBBARD
State OH
ZIP 44425
Phone 330 534-4519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director BRENT D. GROSCOST

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