18D2041780 CLIA NUMBER - WALGREENS #13815

Laboratory Demographics

  • CLIA Code: 18D2041780
  • Facility Name: WALGREENS #13815
  • Facility Address: 2824 SCOTTSVILLE RD
    BOWLING GREEN, KY
    ZIP 42104
  • Facility Phone: 270 393-2115
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. ERIC J. CHRISTIAN
  • NPI Number: 1619263308
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2041780
LAB Type Pharmacy
Facility Name WALGREENS #13815
Street 2824 SCOTTSVILLE RD
City BOWLING GREEN
State KY
ZIP 42104
Phone 270 393-2115
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 MR. ERIC J. CHRISTIAN

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