18D2011095 CLIA NUMBER - WALGREENS #06642

Laboratory Demographics

  • CLIA Code: 18D2011095
  • Facility Name: WALGREENS #06642
  • Facility Address: 1747 PATRICK DRIVE
    BURLINGTON, KY
    ZIP 41005
  • Facility Phone: 859 586-8400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. TRICIA J. CELENZA
  • NPI Number: 1588679724
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011095
LAB Type Pharmacy
Facility Name WALGREENS #06642
Street 1747 PATRICK DRIVE
City BURLINGTON
State KY
ZIP 41005
Phone 859 586-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director MS. TRICIA J. CELENZA

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