18D2229926 CLIA NUMBER - WALGREENS #17172

Laboratory Demographics

  • CLIA Code: 18D2229926
  • Facility Name: WALGREENS #17172
  • Facility Address: 978 NORTH MAIN STREET
    MONTICELLO, KY
    ZIP 42633
  • Facility Phone: 606 348-8478
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MRS. TERA L. HAYES
  • NPI Number: 1710400049
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2229926
LAB Type Pharmacy
Facility Name WALGREENS #17172
Street 978 NORTH MAIN STREET
City MONTICELLO
State KY
ZIP 42633
Phone 606 348-8478
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 MRS. TERA L. HAYES

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