18D2038636 CLIA NUMBER - WALGREENS #12075

Laboratory Demographics

  • CLIA Code: 18D2038636
  • Facility Name: WALGREENS #12075
  • Facility Address: 926 S BROADWAY ST
    GEORGETOWN, KY
    ZIP 40324
  • Facility Phone: 901 834-5427
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: MS. JANA HESS
  • NPI Number: 1730412362
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2038636
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #12075
Street 926 S BROADWAY ST
City GEORGETOWN
State KY
ZIP 40324
Phone 901 834-5427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director MS. JANA HESS

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