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18D2229696 CLIA NUMBER - WALGREENS #19751

Laboratory Demographics

CLIA Number: 18D2229696

Facility Name: WALGREENS #19751

Facility Address:
410 W TOM T HALL BLVD
OLIVE HILL, KY
ZIP 41164
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Facility Phone Number: 606 286-2322

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1306369368

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 18D2229696
LAB Type Pharmacy
Facility Name WALGREENS #19751
Street 410 W TOM T HALL BLVD
City OLIVE HILL
State KY
ZIP 41164
Phone 606 286-2322
CertificateType 4
CertificateEffectiveDate 7/15/2023
CertificateExpirationDate 7/14/2025
FacilityType Waiver

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