18D2287478 CLIA NUMBER - WALGREENS 17497

Laboratory Demographics

  • CLIA Code: 18D2287478
  • Facility Name: WALGREENS 17497
  • Facility Address: 1006 MAIN ST
    MUNFORDVILLE, KY
    ZIP 42765
  • Facility Phone: 270 524-3081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MARIAH LAVERE
  • NPI Number: 1285157636
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2287478
LAB Type Pharmacy
Facility Name WALGREENS 17497
Street 1006 MAIN ST
City MUNFORDVILLE
State KY
ZIP 42765
Phone 270 524-3081
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. MARIAH LAVERE

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