18D2226369 CLIA NUMBER - WALGREENS #17304

Laboratory Demographics

  • CLIA Code: 18D2226369
  • Facility Name: WALGREENS #17304
  • Facility Address: 610 BYPASS RD
    BRANDENBURG, KY
    ZIP 40108
  • Facility Phone: 270 422-5300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. ROBERT E. DAVIS II
  • NPI Number: 1073036307
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2226369
LAB Type Pharmacy
Facility Name WALGREENS #17304
Street 610 BYPASS RD
City BRANDENBURG
State KY
ZIP 40108
Phone 270 422-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director MR. ROBERT E. DAVIS II

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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