36D2258979 CLIA NUMBER - WALGREENS #16422

Laboratory Demographics

  • CLIA Code: 36D2258979
  • Facility Name: WALGREENS #16422
  • Facility Address: 114 W 3RD AVE, SUITE 114
    COLUMBUS, OH
    ZIP 43201
  • Facility Phone: 614 456-1108
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNDSEY OWCARZ
  • NPI Number: 1134582398
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2258979
LAB Type Pharmacy
Facility Name WALGREENS #16422
Street 114 W 3RD AVE, SUITE 114
City COLUMBUS
State OH
ZIP 43201
Phone 614 456-1108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Pharmacy
Lab Director LYNDSEY OWCARZ

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