18D2011096 CLIA NUMBER - WALGREENS #07064

Home > CLIA Lookup > 18D2011096

Laboratory Demographics

CLIA Number: 18D2011096

Facility Name: WALGREENS #07064

Facility Address:
9409 SHELBYVILLE ROAD
LOUISVILLE, KY
ZIP 40222
Get Directions

Facility Phone Number: 502 426-5500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245246784

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	18D2011096
LAB Type	Pharmacy
Facility Name	WALGREENS #07064
Street	9409 SHELBYVILLE ROAD
City	LOUISVILLE
State	KY
ZIP	40222
Phone	502 426-5500
CertificateType	4
CertificateEffectiveDate	5/28/2023
CertificateExpirationDate	5/27/2025
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