36D2287214 CLIA NUMBER - WALGREENS 09775

Laboratory Demographics

  • CLIA Code: 36D2287214
  • Facility Name: WALGREENS 09775
  • Facility Address: 406 MAIN ST
    CINCINNATI, OH
    ZIP 45202
  • Facility Phone: 513 721-0840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARY T. GROENE
  • NPI Number: 1699780692
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2287214
LAB Type Pharmacy
Facility Name WALGREENS 09775
Street 406 MAIN ST
City CINCINNATI
State OH
ZIP 45202
Phone 513 721-0840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director GARY T. GROENE

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