18D2287442 CLIA NUMBER - WALGREENS 17474

Laboratory Demographics

  • CLIA Code: 18D2287442
  • Facility Name: WALGREENS 17474
  • Facility Address: 308 S MAYO TRL
    PAINTSVILLE, KY
    ZIP 41240
  • Facility Phone: 606 789-4950
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KAYLEE B. DEEL
  • NPI Number: 1275056533
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2287442
LAB Type Pharmacy
Facility Name WALGREENS 17474
Street 308 S MAYO TRL
City PAINTSVILLE
State KY
ZIP 41240
Phone 606 789-4950
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. KAYLEE B. DEEL

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