18D2021859 CLIA NUMBER - WALGREENS # 09443

Laboratory Demographics

  • CLIA Code: 18D2021859
  • Facility Name: WALGREENS # 09443
  • Facility Address: 2188 MIDLAND TRL
    SHELBYVILLE, KY
    ZIP 40065
  • Facility Phone: 502 633-4209
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JILLIANNE L. HARRELSON-HILLER
  • NPI Number: 1760497911
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2021859
LAB Type Pharmacy
Facility Name WALGREENS # 09443
Street 2188 MIDLAND TRL
City SHELBYVILLE
State KY
ZIP 40065
Phone 502 633-4209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director MS. JILLIANNE L. HARRELSON-HILLER

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