36D2239719 CLIA NUMBER - WALGREENS #07239

Laboratory Demographics

  • CLIA Code: 36D2239719
  • Facility Name: WALGREENS #07239
  • Facility Address: 562 MAIN ST
    HAMILTON, OH
    ZIP 45013
  • Facility Phone: 513 867-0252
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT J. DIERSING
  • NPI Number: 1316952310
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2239719
LAB Type Pharmacy
Facility Name WALGREENS #07239
Street 562 MAIN ST
City HAMILTON
State OH
ZIP 45013
Phone 513 867-0252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director SCOTT J. DIERSING

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