18D2011091 CLIA NUMBER - WALGREENS #05763

Laboratory Demographics

  • CLIA Code: 18D2011091
  • Facility Name: WALGREENS #05763
  • Facility Address: 8193 MALL ROAD
    FLORENCE, KY
    ZIP 41042
  • Facility Phone: 859 525-6230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. COLE WENDELN
  • NPI Number: 1770598914
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2011091
LAB Type Pharmacy
Facility Name WALGREENS #05763
Street 8193 MALL ROAD
City FLORENCE
State KY
ZIP 41042
Phone 859 525-6230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director MR. COLE WENDELN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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