Healther Providers Data Logo

36D2258979 CLIA NUMBER - WALGREENS #16422

Laboratory Demographics

CLIA Number: 36D2258979

Facility Name: WALGREENS #16422

Facility Address:
114 W 3RD AVE, SUITE 114
COLUMBUS, OH
ZIP 43201
Get Directions

Facility Phone Number: 614 456-1108

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1134582398

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 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
CertificateType 4
CertificateEffectiveDate 4/29/2024
CertificateExpirationDate 4/28/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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