18D2287330 CLIA NUMBER - WALGREENS 19672

Laboratory Demographics

  • CLIA Code: 18D2287330
  • Facility Name: WALGREENS 19672
  • Facility Address: 4101 TATES CREEK CENTRE DR STE 156
    LEXINGTON, KY
    ZIP 40517
  • Facility Phone: 859 273-0222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. BRETT BECKER
  • NPI Number: 1912420944
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2287330
LAB Type Pharmacy
Facility Name WALGREENS 19672
Street 4101 TATES CREEK CENTRE DR STE 156
City LEXINGTON
State KY
ZIP 40517
Phone 859 273-0222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2023
Certificate Expiration Date 8/13/2025
Facility Type Pharmacy
Lab Director MR. BRETT BECKER

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This page was last updated on: 3/20/2025