18D2029819 CLIA NUMBER - WALGREENS #11761

Laboratory Demographics

  • CLIA Code: 18D2029819
  • Facility Name: WALGREENS #11761
  • Facility Address: 635 S DIXIE BLVD
    RADCLIFF, KY
    ZIP 40160
  • Facility Phone: 270 352-0880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KEILA R. ARMES
  • NPI Number: 1114187499
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2029819
LAB Type Pharmacy
Facility Name WALGREENS #11761
Street 635 S DIXIE BLVD
City RADCLIFF
State KY
ZIP 40160
Phone 270 352-0880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director MS. KEILA R. ARMES

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