18D2038627 CLIA NUMBER - WALGREENS #9631

Laboratory Demographics

CLIA Number: 18D2038627

Facility Name: WALGREENS #9631

Facility Address:
101 E REYNOLDS RD
LEXINGTON, KY
ZIP 40517
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Facility Phone Number: 859 272-0476

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124072772

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 18D2038627
LAB Type Pharmacy
Facility Name WALGREENS #9631
Street 101 E REYNOLDS RD
City LEXINGTON
State KY
ZIP 40517
Phone 859 272-0476
CertificateType 4
CertificateEffectiveDate 7/20/2023
CertificateExpirationDate 7/19/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024