18D2287328 CLIA NUMBER - WALGREENS 17163

Laboratory Demographics

CLIA Number: 18D2287328

Facility Name: WALGREENS 17163

Facility Address:
878 EAST HIGH STREET
LEXINGTON, KY
ZIP 40502
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Facility Phone Number: 859 266-1171

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1285157677

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	18D2287328
LAB Type	Pharmacy
Facility Name	WALGREENS 17163
Street	878 EAST HIGH STREET
City	LEXINGTON
State	KY
ZIP	40502
Phone	859 266-1171
CertificateType	4
CertificateEffectiveDate	8/14/2023
CertificateExpirationDate	8/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024