18D2011195 CLIA NUMBER - WALGREENS #07712

Laboratory Demographics

  • CLIA Code: 18D2011195
  • Facility Name: WALGREENS #07712
  • Facility Address: 1001 W MAIN ST
    GLASGOW, KY
    ZIP 42141
  • Facility Phone: 270 651-0471
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KATIE A. HUDSON
  • NPI Number: 1104349109
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2011195
LAB Type Pharmacy
Facility Name WALGREENS #07712
Street 1001 W MAIN ST
City GLASGOW
State KY
ZIP 42141
Phone 270 651-0471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director MS. KATIE A. HUDSON

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