18D1103636 CLIA NUMBER - WALGREENS #05001

Laboratory Demographics

  • CLIA Code: 18D1103636
  • Facility Name: WALGREENS #05001
  • Facility Address: 2490 BARDSTOWN RD
    LOUISVILLE, KY
    ZIP 40205
  • Facility Phone: 502 454-8087
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JANET NG
  • NPI Number: 1316952567
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1103636
LAB Type Pharmacy
Facility Name WALGREENS #05001
Street 2490 BARDSTOWN RD
City LOUISVILLE
State KY
ZIP 40205
Phone 502 454-8087
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 MS. JANET NG

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