18D2011088 CLIA NUMBER - WALGREENS #04216

Laboratory Demographics

  • CLIA Code: 18D2011088
  • Facility Name: WALGREENS #04216
  • Facility Address: 5201 S 3RD ST
    LOUISVILLE, KY
    ZIP 40214
  • Facility Phone: 502 361-2349
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. AKINDELE A. OLUGBENGA
  • NPI Number: 1407861644
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011088
LAB Type Pharmacy
Facility Name WALGREENS #04216
Street 5201 S 3RD ST
City LOUISVILLE
State KY
ZIP 40214
Phone 502 361-2349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director MR. AKINDELE A. OLUGBENGA

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