18D2229471 CLIA NUMBER - WALGREENS #17478

Laboratory Demographics

  • CLIA Code: 18D2229471
  • Facility Name: WALGREENS #17478
  • Facility Address: 415 NORTH LINCOLN BOULEVARD
    HODGENVILLE, KY
    ZIP 42748
  • Facility Phone: 270 358-3186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KEE E. SHIELDS
  • NPI Number: 1174046437
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2229471
LAB Type Pharmacy
Facility Name WALGREENS #17478
Street 415 NORTH LINCOLN BOULEVARD
City HODGENVILLE
State KY
ZIP 42748
Phone 270 358-3186
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 MS. KEE E. SHIELDS

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