18D2288594 CLIA NUMBER - WALGREENS 18059

Laboratory Demographics

  • CLIA Code: 18D2288594
  • Facility Name: WALGREENS 18059
  • Facility Address: 100 HOLLY HILLS MALL RD
    HINDMAN, KY
    ZIP 41822
  • Facility Phone: 606 785-4960
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. WHITNEY B. CORNETT
  • NPI Number: 1265955355
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2288594
LAB Type Pharmacy
Facility Name WALGREENS 18059
Street 100 HOLLY HILLS MALL RD
City HINDMAN
State KY
ZIP 41822
Phone 606 785-4960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director MS. WHITNEY B. CORNETT

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