36D2290816 CLIA NUMBER - WALGREENS 01502

Laboratory Demographics

  • CLIA Code: 36D2290816
  • Facility Name: WALGREENS 01502
  • Facility Address: 6204 MONTGOMERY RD
    CINCINNATI, OH
    ZIP 45213
  • Facility Phone: 513 731-2272
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JUDY H. TRAVIS KOHUT
  • NPI Number: 1225043227
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2290816
LAB Type Pharmacy
Facility Name WALGREENS 01502
Street 6204 MONTGOMERY RD
City CINCINNATI
State OH
ZIP 45213
Phone 513 731-2272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Pharmacy
Lab Director DR. JUDY H. TRAVIS KOHUT

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