18D2221383 CLIA NUMBER - WALGREENS #15182

Laboratory Demographics

  • CLIA Code: 18D2221383
  • Facility Name: WALGREENS #15182
  • Facility Address: 1220 MADISON AVE
    COVINGTON, KY
    ZIP 41011
  • Facility Phone: 859 491-9883
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JORDAN SMITH
  • NPI Number: 1972519411
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2221383
LAB Type Pharmacy
Facility Name WALGREENS #15182
Street 1220 MADISON AVE
City COVINGTON
State KY
ZIP 41011
Phone 859 491-9883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director MS. JORDAN SMITH

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