18D2229440 CLIA NUMBER - WALGREENS #17956

Laboratory Demographics

CLIA Number: 18D2229440

Facility Name: WALGREENS #17956

Facility Address:
201 SOUTH MAIN STREET
GREENVILLE, KY
ZIP 42345
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Facility Phone Number: 270 338-4241

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861915068

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 18D2229440
LAB Type Pharmacy
Facility Name WALGREENS #17956
Street 201 SOUTH MAIN STREET
City GREENVILLE
State KY
ZIP 42345
Phone 270 338-4241
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