18D2011079 CLIA NUMBER - WALGREENS #03677

Laboratory Demographics

  • CLIA Code: 18D2011079
  • Facility Name: WALGREENS #03677
  • Facility Address: 12101 SHELBYVILLE RD
    MIDDLETOWN, KY
    ZIP 40243
  • Facility Phone: 502 244-7037
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ABIGAIL T. JOHNSON
  • NPI Number: 1760497903
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011079
LAB Type Pharmacy
Facility Name WALGREENS #03677
Street 12101 SHELBYVILLE RD
City MIDDLETOWN
State KY
ZIP 40243
Phone 502 244-7037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director MS. ABIGAIL T. JOHNSON

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