18D2011083 CLIA NUMBER - WALGREENS #04082

Laboratory Demographics

  • CLIA Code: 18D2011083
  • Facility Name: WALGREENS #04082
  • Facility Address: 606 BUTTERMILK PIKE
    CRESCENT SPRINGS, KY
    ZIP 41017
  • Facility Phone: 859 344-1824
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. STEFANIE YOUNG
  • NPI Number: 1871508028
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011083
LAB Type Pharmacy
Facility Name WALGREENS #04082
Street 606 BUTTERMILK PIKE
City CRESCENT SPRINGS
State KY
ZIP 41017
Phone 859 344-1824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Pharmacy
Lab Director MS. STEFANIE YOUNG

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