18D2287983 CLIA NUMBER - WALGREENS 17374

Laboratory Demographics

  • CLIA Code: 18D2287983
  • Facility Name: WALGREENS 17374
  • Facility Address: 525 PRESTONSBURG STREET
    WEST LIBERTY, KY
    ZIP 41472
  • Facility Phone: 606 743-3425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JANA R. BACK
  • NPI Number: 1023531324
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2287983
LAB Type Pharmacy
Facility Name WALGREENS 17374
Street 525 PRESTONSBURG STREET
City WEST LIBERTY
State KY
ZIP 41472
Phone 606 743-3425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Pharmacy
Lab Director MS. JANA R. BACK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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