18D2012546 CLIA NUMBER - WALGREENS #07664

Laboratory Demographics

  • CLIA Code: 18D2012546
  • Facility Name: WALGREENS #07664
  • Facility Address: 600 S HIGHWAY 27
    SOMERSET, KY
    ZIP 42501
  • Facility Phone: 606 677-0596
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. RHIANNON S. BAKER
  • NPI Number: 1336662600
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2012546
LAB Type Pharmacy
Facility Name WALGREENS #07664
Street 600 S HIGHWAY 27
City SOMERSET
State KY
ZIP 42501
Phone 606 677-0596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director MS. RHIANNON S. BAKER

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