18D2038631 CLIA NUMBER - WALGREENS #10206

Laboratory Demographics

  • CLIA Code: 18D2038631
  • Facility Name: WALGREENS #10206
  • Facility Address: 2290 NICHOLASVILLE ROAD
    LEXINGTON, KY
    ZIP 40503
  • Facility Phone: 859 276-1553
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. RAYMOND ASHIA
  • NPI Number: 1033124276
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2038631
LAB Type Pharmacy
Facility Name WALGREENS #10206
Street 2290 NICHOLASVILLE ROAD
City LEXINGTON
State KY
ZIP 40503
Phone 859 276-1553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director MR. RAYMOND ASHIA

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