18D2029805 CLIA NUMBER - WALGREENS #13034

Laboratory Demographics

  • CLIA Code: 18D2029805
  • Facility Name: WALGREENS #13034
  • Facility Address: 528 WEST TENNESSEE AVE
    PINEVILLE, KY
    ZIP 40977
  • Facility Phone: 606 337-1444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JARED S. JEFFREY
  • NPI Number: 1336397223
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2029805
LAB Type Pharmacy
Facility Name WALGREENS #13034
Street 528 WEST TENNESSEE AVE
City PINEVILLE
State KY
ZIP 40977
Phone 606 337-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director MR. JARED S. JEFFREY

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