18D2041777 CLIA NUMBER - WALGREENS #13632

Laboratory Demographics

  • CLIA Code: 18D2041777
  • Facility Name: WALGREENS #13632
  • Facility Address: 311 N MAIN ST
    LEITCHFIELD, KY
    ZIP 42755
  • Facility Phone: 270 259-2474
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BRITTANY N. SHOFNER
  • NPI Number: 1447556287
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2041777
LAB Type Pharmacy
Facility Name WALGREENS #13632
Street 311 N MAIN ST
City LEITCHFIELD
State KY
ZIP 42755
Phone 270 259-2474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Pharmacy
Lab Director MS. BRITTANY N. SHOFNER

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