36D2231344 CLIA NUMBER - WALGREENS #09193

Laboratory Demographics

  • CLIA Code: 36D2231344
  • Facility Name: WALGREENS #09193
  • Facility Address: 2615 BRICE RD
    REYNOLDSBURG, OH
    ZIP 43068
  • Facility Phone: 614 866-8218
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUDITH A. GROTSKY
  • NPI Number: 1417962473
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2231344
LAB Type Pharmacy
Facility Name WALGREENS #09193
Street 2615 BRICE RD
City REYNOLDSBURG
State OH
ZIP 43068
Phone 614 866-8218
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 JUDITH A. GROTSKY

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