18D2206429 CLIA NUMBER - WALGREENS #17445

Laboratory Demographics

  • CLIA Code: 18D2206429
  • Facility Name: WALGREENS #17445
  • Facility Address: 110 RICHMOND ROAD
    IRVINE, KY
    ZIP 40336
  • Facility Phone: 901 834-5427
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: MS. JILLIANNE L. HILLER
  • NPI Number: 1467975722
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2206429
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #17445
Street 110 RICHMOND ROAD
City IRVINE
State KY
ZIP 40336
Phone 901 834-5427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director MS. JILLIANNE L. HILLER

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