18D2025401 CLIA NUMBER - WALGREENS #06171

Laboratory Demographics

  • CLIA Code: 18D2025401
  • Facility Name: WALGREENS #06171
  • Facility Address: 5900 TIMBER RIDGE DR
    PROSPECT, KY
    ZIP 40059
  • Facility Phone: 502 228-3304
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. SARAH CALVERT
  • NPI Number: 1952316101
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2025401
LAB Type Pharmacy
Facility Name WALGREENS #06171
Street 5900 TIMBER RIDGE DR
City PROSPECT
State KY
ZIP 40059
Phone 502 228-3304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director MS. SARAH CALVERT

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