18D2230055 CLIA NUMBER - WALGREENS #18362

Laboratory Demographics

  • CLIA Code: 18D2230055
  • Facility Name: WALGREENS #18362
  • Facility Address: 503 STEVE DR
    RUSSELL SPRINGS, KY
    ZIP 42642
  • Facility Phone: 270 866-2226
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. RYAN L. HART
  • NPI Number: 1467975599
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2230055
LAB Type Pharmacy
Facility Name WALGREENS #18362
Street 503 STEVE DR
City RUSSELL SPRINGS
State KY
ZIP 42642
Phone 270 866-2226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director MS. RYAN L. HART

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