18D2287480 CLIA NUMBER - WALGREENS 18171

Laboratory Demographics

  • CLIA Code: 18D2287480
  • Facility Name: WALGREENS 18171
  • Facility Address: 125 N MAIN ST
    STANTON, KY
    ZIP 40380
  • Facility Phone: 606 663-2521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. KENNETH B. WATSON
  • NPI Number: 1285157545
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2287480
LAB Type Pharmacy
Facility Name WALGREENS 18171
Street 125 N MAIN ST
City STANTON
State KY
ZIP 40380
Phone 606 663-2521
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 MR. KENNETH B. WATSON

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