18D2229923 CLIA NUMBER - WALGREENS #17145

Laboratory Demographics

  • CLIA Code: 18D2229923
  • Facility Name: WALGREENS #17145
  • Facility Address: 1261 US HIGWAY 27 N
    STANFORD, KY
    ZIP 40484
  • Facility Phone: 606 365-9191
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DAVID LUTZ
  • NPI Number: 1811410285
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2229923
LAB Type Pharmacy
Facility Name WALGREENS #17145
Street 1261 US HIGWAY 27 N
City STANFORD
State KY
ZIP 40484
Phone 606 365-9191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Pharmacy
Lab Director MR. DAVID LUTZ

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