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18D2226371 CLIA NUMBER - WALGREENS #05548

Laboratory Demographics

CLIA Number: 18D2226371

Facility Name: WALGREENS #05548

Facility Address:
3104 DIXIE HWY
ERLANGER, KY
ZIP 41018
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Facility Phone Number: 859 426-0342

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1043225295

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 5/28/2023
CertificateExpirationDate 5/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024