18D2026657 CLIA NUMBER - WALGREENS # 07315

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Laboratory Demographics

CLIA Number: 18D2026657

Facility Name: WALGREENS # 07315

Facility Address:
13807 ENGLISH VILLA DRIVE
LOUISVILLE, KY
ZIP 40245
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Facility Phone Number: 502 254-2535

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497760649

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	18D2026657
LAB Type	Pharmacy
Facility Name	WALGREENS # 07315
Street	13807 ENGLISH VILLA DRIVE
City	LOUISVILLE
State	KY
ZIP	40245
Phone	502 254-2535
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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