18D2229717 CLIA NUMBER - WALGREENS #17946

Laboratory Demographics

  • CLIA Code: 18D2229717
  • Facility Name: WALGREENS #17946
  • Facility Address: 3813 DYLAN PL
    LEXINGTON, KY
    ZIP 40514
  • Facility Phone: 859 219-0102
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MANSOUR M. AHMAD
  • NPI Number: 1356864557
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2229717
LAB Type Pharmacy
Facility Name WALGREENS #17946
Street 3813 DYLAN PL
City LEXINGTON
State KY
ZIP 40514
Phone 859 219-0102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director MS. MANSOUR M. AHMAD

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