36D2239721 CLIA NUMBER - WALGREENS #07973

Laboratory Demographics

  • CLIA Code: 36D2239721
  • Facility Name: WALGREENS #07973
  • Facility Address: 2110 STRINGTOWN RD
    GROVE CITY, OH
    ZIP 43123
  • Facility Phone: 614 277-1325
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YIDIDYA Z. HAMBISSA
  • NPI Number: 1164437117
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2239721
LAB Type Pharmacy
Facility Name WALGREENS #07973
Street 2110 STRINGTOWN RD
City GROVE CITY
State OH
ZIP 43123
Phone 614 277-1325
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 YIDIDYA Z. HAMBISSA

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