18D2018954 CLIA NUMBER - WALGREENS # 10315

Laboratory Demographics

  • CLIA Code: 18D2018954
  • Facility Name: WALGREENS # 10315
  • Facility Address: 2005 CENTENNIAL BLVD
    INDEPENDENCE, KY
    ZIP 41051
  • Facility Phone: 859 363-3605
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JASON FELTNER
  • NPI Number: 1700077831
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2018954
LAB Type Pharmacy
Facility Name WALGREENS # 10315
Street 2005 CENTENNIAL BLVD
City INDEPENDENCE
State KY
ZIP 41051
Phone 859 363-3605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director MR. JASON FELTNER

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