18D2011092 CLIA NUMBER - WALGREENS #05813

Home > CLIA Lookup > 18D2011092

Laboratory Demographics

CLIA Number: 18D2011092

Facility Name: WALGREENS #05813

Facility Address:
11930 STANDIFORD PLAZA DR
LOUISVILLE, KY
ZIP 40229
Get Directions

Facility Phone Number: 502 961-5843

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134134380

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	18D2011092
LAB Type	Pharmacy
Facility Name	WALGREENS #05813
Street	11930 STANDIFORD PLAZA DR
City	LOUISVILLE
State	KY
ZIP	40229
Phone	502 961-5843
CertificateType	4
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024