18D2226371 CLIA NUMBER - WALGREENS #05548

Laboratory Demographics

  • CLIA Code: 18D2226371
  • Facility Name: WALGREENS #05548
  • Facility Address: 3104 DIXIE HWY
    ERLANGER, KY
    ZIP 41018
  • Facility Phone: 859 426-0342
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DERRICK LEWIS
  • NPI Number: 1043225295
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2226371
LAB Type Pharmacy
Facility Name WALGREENS #05548
Street 3104 DIXIE HWY
City ERLANGER
State KY
ZIP 41018
Phone 859 426-0342
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. DERRICK LEWIS

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