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18D2290743 CLIA NUMBER - WALGREENS 19741

Laboratory Demographics

CLIA Number: 18D2290743

Facility Name: WALGREENS 19741

Facility Address:
3120 PIMLICO PKWY STE 178
LEXINGTON, KY
ZIP 40517
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Facility Phone Number: 859 273-7963

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1568986057

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 18D2290743
LAB Type Pharmacy
Facility Name WALGREENS 19741
Street 3120 PIMLICO PKWY STE 178
City LEXINGTON
State KY
ZIP 40517
Phone 859 273-7963
CertificateType 4
CertificateEffectiveDate 9/29/2023
CertificateExpirationDate 9/28/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024