18D2012547 CLIA NUMBER - WALGREENS #07093

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Laboratory Demographics

CLIA Number: 18D2012547

Facility Name: WALGREENS #07093

Facility Address:
3001 PINK PIGEON PRKWY
LEXINGTON, KY
ZIP 40509
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Facility Phone Number: 859 543-8665

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1770598922

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	18D2012547
LAB Type	Pharmacy
Facility Name	WALGREENS #07093
Street	3001 PINK PIGEON PRKWY
City	LEXINGTON
State	KY
ZIP	40509
Phone	859 543-8665
CertificateType	4
CertificateEffectiveDate	11/23/2023
CertificateExpirationDate	11/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024