36D2287469 CLIA NUMBER - WALGREENS 01281

Laboratory Demographics

  • CLIA Code: 36D2287469
  • Facility Name: WALGREENS 01281
  • Facility Address: 68 W US HIGHWAY 22 AND 3
    MAINEVILLE, OH
    ZIP 45039
  • Facility Phone: 513 774-0302
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTINE J. SMITH
  • NPI Number: 1962417915
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2287469
LAB Type Pharmacy
Facility Name WALGREENS 01281
Street 68 W US HIGHWAY 22 AND 3
City MAINEVILLE
State OH
ZIP 45039
Phone 513 774-0302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2023
Certificate Expiration Date 8/14/2025
Facility Type Pharmacy
Lab Director KRISTINE J. SMITH

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This page was last updated on: 6/4/2025