18D2287331 CLIA NUMBER - WALGREENS 17444

Laboratory Demographics

  • CLIA Code: 18D2287331
  • Facility Name: WALGREENS 17444
  • Facility Address: 730 MAIN ST
    CALHOUN, KY
    ZIP 42327
  • Facility Phone: 270 273-5202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. RHYNHARDT VAN WYR
  • NPI Number: 1417470766
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2287331
LAB Type Pharmacy
Facility Name WALGREENS 17444
Street 730 MAIN ST
City CALHOUN
State KY
ZIP 42327
Phone 270 273-5202
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 MS. RHYNHARDT VAN WYR

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