18D2229719 CLIA NUMBER - WALGREENS #19673

Laboratory Demographics

CLIA Number: 18D2229719

Facility Name: WALGREENS #19673

Facility Address:
629 US HIGHWAY 27 SOUTH
CYNTHIANA, KY
ZIP 41031
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Facility Phone Number: 859 234-6111

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184147241

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 18D2229719
LAB Type Pharmacy
Facility Name WALGREENS #19673
Street 629 US HIGHWAY 27 SOUTH
City CYNTHIANA
State KY
ZIP 41031
Phone 859 234-6111
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