18D2025870 CLIA NUMBER - WALGREENS #12322

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Laboratory Demographics

CLIA Number: 18D2025870

Facility Name: WALGREENS #12322

Facility Address:
808 EASTERN PKWY
LOUISVILLE, KY
ZIP 40217
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Facility Phone Number: 502 396-2296

Facility Type: Other - COVID TESTING

Certificate Type: Waiver

NPI Number: 1952316184

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	18D2025870
LAB Type	Other - COVID TESTING
Facility Name	WALGREENS #12322
Street	808 EASTERN PKWY
City	LOUISVILLE
State	KY
ZIP	40217
Phone	502 396-2296
CertificateType	4
CertificateEffectiveDate	6/20/2023
CertificateExpirationDate	6/19/2025
FacilityType	Waiver

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