18D2229440 CLIA NUMBER - WALGREENS #17956

Laboratory Demographics

  • CLIA Code: 18D2229440
  • Facility Name: WALGREENS #17956
  • Facility Address: 201 SOUTH MAIN STREET
    GREENVILLE, KY
    ZIP 42345
  • Facility Phone: 270 338-4241
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. MATTHEW HODGES
  • NPI Number: 1861915068
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2229440
LAB Type Pharmacy
Facility Name WALGREENS #17956
Street 201 SOUTH MAIN STREET
City GREENVILLE
State KY
ZIP 42345
Phone 270 338-4241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director MR. MATTHEW HODGES

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