18D2054121 CLIA NUMBER - WALGREENS #11198

Laboratory Demographics

  • CLIA Code: 18D2054121
  • Facility Name: WALGREENS #11198
  • Facility Address: 3312 STATE ROUTE 54
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 683-6422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. HEIDI C. BARRETT
  • NPI Number: 1972790327
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2054121
LAB Type Pharmacy
Facility Name WALGREENS #11198
Street 3312 STATE ROUTE 54
City OWENSBORO
State KY
ZIP 42303
Phone 270 683-6422
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

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