18D2011086 CLIA NUMBER - WALGREENS #4163

Laboratory Demographics

  • CLIA Code: 18D2011086
  • Facility Name: WALGREENS #4163
  • Facility Address: 7338 DIXIE HWY
    LOUISVILLE, KY
    ZIP 40258
  • Facility Phone: 502 937-3747
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. BRANDEN SIMPSON
  • NPI Number: 1497760631
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011086
LAB Type Pharmacy
Facility Name WALGREENS #4163
Street 7338 DIXIE HWY
City LOUISVILLE
State KY
ZIP 40258
Phone 502 937-3747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Pharmacy
Lab Director MR. BRANDEN SIMPSON

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