18D2011087 CLIA NUMBER - WALGREENS #04194

Laboratory Demographics

  • CLIA Code: 18D2011087
  • Facility Name: WALGREENS #04194
  • Facility Address: 2021 HIKES LN
    LOUISVILLE, KY
    ZIP 40218
  • Facility Phone: 502 451-0931
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. CHELSEA D. TYREE
  • NPI Number: 1861407009
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011087
LAB Type Pharmacy
Facility Name WALGREENS #04194
Street 2021 HIKES LN
City LOUISVILLE
State KY
ZIP 40218
Phone 502 451-0931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Pharmacy
Lab Director MS. CHELSEA D. TYREE

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