18D2229773 CLIA NUMBER - WALGREENS #17526

Laboratory Demographics

  • CLIA Code: 18D2229773
  • Facility Name: WALGREENS #17526
  • Facility Address: 740 S KY-15
    JACKSON, KY
    ZIP 41339
  • Facility Phone: 606 666-2883
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. COLLIER R. MOBELINI
  • NPI Number: 1295258663
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2229773
LAB Type Pharmacy
Facility Name WALGREENS #17526
Street 740 S KY-15
City JACKSON
State KY
ZIP 41339
Phone 606 666-2883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Pharmacy
Lab Director MS. COLLIER R. MOBELINI

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