36D2231465 CLIA NUMBER - WALGREENS #09346

Laboratory Demographics

  • CLIA Code: 36D2231465
  • Facility Name: WALGREENS #09346
  • Facility Address: 9166 STATE ROUTE 43
    STREETSBORO, OH
    ZIP 44241
  • Facility Phone: 330 422-0502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN S. DITCHEY
  • NPI Number: 1356388698
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2231465
LAB Type Pharmacy
Facility Name WALGREENS #09346
Street 9166 STATE ROUTE 43
City STREETSBORO
State OH
ZIP 44241
Phone 330 422-0502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director KEVIN S. DITCHEY

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