18D2011089 CLIA NUMBER - WALGREENS #04284

Laboratory Demographics

  • CLIA Code: 18D2011089
  • Facility Name: WALGREENS #04284
  • Facility Address: 2840 ALEXANDRIA PIKE
    HIGHLAND HEIGHTS, KY
    ZIP 41076
  • Facility Phone: 859 781-0631
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. LIESA CARLE
  • NPI Number: 1306851548
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011089
LAB Type Pharmacy
Facility Name WALGREENS #04284
Street 2840 ALEXANDRIA PIKE
City HIGHLAND HEIGHTS
State KY
ZIP 41076
Phone 859 781-0631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director MS. LIESA CARLE

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This page was last updated on: 6/4/2025