18D2011081 CLIA NUMBER - WALGREENS #03777

Laboratory Demographics

  • CLIA Code: 18D2011081
  • Facility Name: WALGREENS #03777
  • Facility Address: 4240 SHELBYVILLE RD
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 893-0277
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. CARRIE K. WATTS
  • NPI Number: 1245753276
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011081
LAB Type Pharmacy
Facility Name WALGREENS #03777
Street 4240 SHELBYVILLE RD
City LOUISVILLE
State KY
ZIP 40207
Phone 502 893-0277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director MS. CARRIE K. WATTS

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