18D2229723 CLIA NUMBER - WALGREENS #17162

Laboratory Demographics

  • CLIA Code: 18D2229723
  • Facility Name: WALGREENS #17162
  • Facility Address: 21287 HIGHWAY 421
    HYDEN, KY
    ZIP 41749
  • Facility Phone: 606 672-3811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JILLIANNE LEA HARRELSON-HILLER
  • NPI Number: 1356864623
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2229723
LAB Type Pharmacy
Facility Name WALGREENS #17162
Street 21287 HIGHWAY 421
City HYDEN
State KY
ZIP 41749
Phone 606 672-3811
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. JILLIANNE LEA HARRELSON-HILLER

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