18D2029815 CLIA NUMBER - WALGREENS #5436

Laboratory Demographics

  • CLIA Code: 18D2029815
  • Facility Name: WALGREENS #5436
  • Facility Address: 4025 TAYLORSVILLE RD
    LOUISVILLE, KY
    ZIP 40220
  • Facility Phone: 502 451-9200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. HEIDI C. BARRETT
  • NPI Number: 1689689812
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2029815
LAB Type Pharmacy
Facility Name WALGREENS #5436
Street 4025 TAYLORSVILLE RD
City LOUISVILLE
State KY
ZIP 40220
Phone 502 451-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director MS. HEIDI C. BARRETT

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This page was last updated on: 6/4/2025