36D2290891 CLIA NUMBER - WALGREENS 06682

Laboratory Demographics

  • CLIA Code: 36D2290891
  • Facility Name: WALGREENS 06682
  • Facility Address: 8614 PRINCETON GLENDALE RD
    WEST CHESTER, OH
    ZIP 45069
  • Facility Phone: 513 860-4753
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JAMES K. RUSK
  • NPI Number: 1609883610
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2290891
LAB Type Pharmacy
Facility Name WALGREENS 06682
Street 8614 PRINCETON GLENDALE RD
City WEST CHESTER
State OH
ZIP 45069
Phone 513 860-4753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Pharmacy
Lab Director DR. JAMES K. RUSK

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