18D2287439 CLIA NUMBER - WALGREENS 17576

Laboratory Demographics

  • CLIA Code: 18D2287439
  • Facility Name: WALGREENS 17576
  • Facility Address: 244 N LAKE DR
    PRESTONSBURG, KY
    ZIP 41653
  • Facility Phone: 606 886-3884
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BRIDGETTE T. SLONE
  • NPI Number: 1659894657
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2287439
LAB Type Pharmacy
Facility Name WALGREENS 17576
Street 244 N LAKE DR
City PRESTONSBURG
State KY
ZIP 41653
Phone 606 886-3884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director MS. BRIDGETTE T. SLONE

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