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18D2229441 CLIA NUMBER - WALGREENS #19636

Laboratory Demographics

CLIA Number: 18D2229441

Facility Name: WALGREENS #19636

Facility Address:
8014 BARDSTOWN ROAD
LOUISVILLE, KY
ZIP 40291
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Facility Phone Number: 502 239-1256

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1619490703

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 18D2229441
LAB Type Pharmacy
Facility Name WALGREENS #19636
Street 8014 BARDSTOWN ROAD
City LOUISVILLE
State KY
ZIP 40291
Phone 502 239-1256
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