18D2287329 CLIA NUMBER - WALGREENS 17581

Laboratory Demographics

  • CLIA Code: 18D2287329
  • Facility Name: WALGREENS 17581
  • Facility Address: 411 W STOCKTON ST
    EDMONTON, KY
    ZIP 42129
  • Facility Phone: 270 432-2725
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CASEY A. WADE
  • NPI Number: 1881117943
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2287329
LAB Type Pharmacy
Facility Name WALGREENS 17581
Street 411 W STOCKTON ST
City EDMONTON
State KY
ZIP 42129
Phone 270 432-2725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director DR. CASEY A. WADE

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