18D2029817 CLIA NUMBER - WALGREENS #03776

Laboratory Demographics

  • CLIA Code: 18D2029817
  • Facility Name: WALGREENS #03776
  • Facility Address: 1475 DIXIE HWY
    LOUISVILLE, KY
    ZIP 40210
  • Facility Phone: 502 776-1840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. HEIDI C. BARRETT
  • NPI Number: 1962417113
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2029817
LAB Type Pharmacy
Facility Name WALGREENS #03776
Street 1475 DIXIE HWY
City LOUISVILLE
State KY
ZIP 40210
Phone 502 776-1840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Pharmacy
Lab Director MS. HEIDI C. BARRETT

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