18D2011192 CLIA NUMBER - WALGREENS #06429

Laboratory Demographics

  • CLIA Code: 18D2011192
  • Facility Name: WALGREENS #06429
  • Facility Address: 521 LONE OAK ROAD
    PADUCAH, KY
    ZIP 42003
  • Facility Phone: 270 442-6659
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DANIEL B. ARNDT
  • NPI Number: 1861407017
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011192
LAB Type Pharmacy
Facility Name WALGREENS #06429
Street 521 LONE OAK ROAD
City PADUCAH
State KY
ZIP 42003
Phone 270 442-6659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Pharmacy
Lab Director MR. DANIEL B. ARNDT

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