18D2210813 CLIA NUMBER - WALGREENS #10776

Laboratory Demographics

  • CLIA Code: 18D2210813
  • Facility Name: WALGREENS #10776
  • Facility Address: 2209 RICHMOND RD
    LEXINGTON, KY
    ZIP 40502
  • Facility Phone: 901 834-5427
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: MR. DANIEL TEBERG
  • NPI Number: 1598288938
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2210813
LAB Type Other - COVID TESTING
Facility Name WALGREENS #10776
Street 2209 RICHMOND RD
City LEXINGTON
State KY
ZIP 40502
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 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Other - COVID TESTING
Lab Director MR. DANIEL TEBERG

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