18D2038637 CLIA NUMBER - WALGREENS #12076

Laboratory Demographics

  • CLIA Code: 18D2038637
  • Facility Name: WALGREENS #12076
  • Facility Address: 512 W MAIN ST
    LEBANON, KY
    ZIP 40033
  • Facility Phone: 270 692-0471
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. HEIDI C. BARRETT
  • NPI Number: 1043467350
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2038637
LAB Type Pharmacy
Facility Name WALGREENS #12076
Street 512 W MAIN ST
City LEBANON
State KY
ZIP 40033
Phone 270 692-0471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director MS. HEIDI C. BARRETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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