18D2029809 CLIA NUMBER - WALGREENS #10151

Laboratory Demographics

  • CLIA Code: 18D2029809
  • Facility Name: WALGREENS #10151
  • Facility Address: 3700 FRANKFORT AVE
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 899-9353
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DEREK CANNON
  • NPI Number: 1053356139
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2029809
LAB Type Pharmacy
Facility Name WALGREENS #10151
Street 3700 FRANKFORT AVE
City LOUISVILLE
State KY
ZIP 40207
Phone 502 899-9353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director MR. DEREK CANNON

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