18D2229928 CLIA NUMBER - WALGREENS #17150

Laboratory Demographics

  • CLIA Code: 18D2229928
  • Facility Name: WALGREENS #17150
  • Facility Address: 1401 KEENE ROAD
    NICHOLASVILLE, KY
    ZIP 40356
  • Facility Phone: 859 881-3682
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. NICOLE L. HALL
  • NPI Number: 1477076867
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2229928
LAB Type Pharmacy
Facility Name WALGREENS #17150
Street 1401 KEENE ROAD
City NICHOLASVILLE
State KY
ZIP 40356
Phone 859 881-3682
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 MS. NICOLE L. HALL

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