36D2287458 CLIA NUMBER - WALGREENS 02697

Laboratory Demographics

  • CLIA Code: 36D2287458
  • Facility Name: WALGREENS 02697
  • Facility Address: 9580 KENWOOD RD
    BLUE ASH, OH
    ZIP 45242
  • Facility Phone: 513 791-4390
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATRINA V. HEGDE
  • NPI Number: 1760497762
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2287458
LAB Type Pharmacy
Facility Name WALGREENS 02697
Street 9580 KENWOOD RD
City BLUE ASH
State OH
ZIP 45242
Phone 513 791-4390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director KATRINA V. HEGDE

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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