36D2231317 CLIA NUMBER - WALGREENS #05517

Laboratory Demographics

  • CLIA Code: 36D2231317
  • Facility Name: WALGREENS #05517
  • Facility Address: 2600 S SMITHVILLE RD
    DAYTON, OH
    ZIP 45420
  • Facility Phone: 937 781-9561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA HENNING
  • NPI Number: 1326053356
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2231317
LAB Type Pharmacy
Facility Name WALGREENS #05517
Street 2600 S SMITHVILLE RD
City DAYTON
State OH
ZIP 45420
Phone 937 781-9561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Pharmacy
Lab Director SAMANTHA HENNING

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