18D2229438 CLIA NUMBER - WALGREENS #17727

Laboratory Demographics

CLIA Number: 18D2229438

Facility Name: WALGREENS #17727

Facility Address:
1900 ARGILLITE RD
FLATWOODS, KY
ZIP 41139
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Facility Phone Number: 606 836-2498

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730603200

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	18D2229438
LAB Type	Pharmacy
Facility Name	WALGREENS #17727
Street	1900 ARGILLITE RD
City	FLATWOODS
State	KY
ZIP	41139
Phone	606 836-2498
CertificateType	4
CertificateEffectiveDate	7/13/2023
CertificateExpirationDate	7/12/2025
FacilityType	Waiver

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