18D2038640 CLIA NUMBER - WALGREENS #12111

Laboratory Demographics

  • CLIA Code: 18D2038640
  • Facility Name: WALGREENS #12111
  • Facility Address: 14659 N US HWY 25 E
    CORBIN, KY
    ZIP 40701
  • Facility Phone: 606 258-7980
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. NATALIE GOODIN
  • NPI Number: 1871721712
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2038640
LAB Type Pharmacy
Facility Name WALGREENS #12111
Street 14659 N US HWY 25 E
City CORBIN
State KY
ZIP 40701
Phone 606 258-7980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director MS. NATALIE GOODIN

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