18D2022782 CLIA NUMBER - WALGREENS # 04586

Laboratory Demographics

  • CLIA Code: 18D2022782
  • Facility Name: WALGREENS # 04586
  • Facility Address: 7914 FEGENBUSH LN
    LOUISVILLE, KY
    ZIP 40228
  • Facility Phone: 502 231-1788
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MOLLY ERNSPIKER
  • NPI Number: 1093097719
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 18D2022782
LAB Type Pharmacy
Facility Name WALGREENS # 04586
Street 7914 FEGENBUSH LN
City LOUISVILLE
State KY
ZIP 40228
Phone 502 231-1788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Pharmacy
Lab Director MS. MOLLY ERNSPIKER

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