36D2231609 CLIA NUMBER - WALGREENS #07368

Laboratory Demographics

CLIA Number: 36D2231609

Facility Name: WALGREENS #07368

Facility Address:
4890 N HIGH ST
COLUMBUS, OH
ZIP 43214
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Facility Phone Number: 614 261-9013

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1346255395

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 36D2231609
LAB Type Pharmacy
Facility Name WALGREENS #07368
Street 4890 N HIGH ST
City COLUMBUS
State OH
ZIP 43214
Phone 614 261-9013
CertificateType 4
CertificateEffectiveDate 8/4/2023
CertificateExpirationDate 8/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024