18D2290745 CLIA NUMBER - WALGREENS 19740

Laboratory Demographics

  • CLIA Code: 18D2290745
  • Facility Name: WALGREENS 19740
  • Facility Address: 3735 PALOMAR CENTRE DR STE 80
    LEXINGTON, KY
    ZIP 40513
  • Facility Phone: 859 223-0701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANYE WAMUCHO
  • NPI Number: 1104349547
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2290745
LAB Type Pharmacy
Facility Name WALGREENS 19740
Street 3735 PALOMAR CENTRE DR STE 80
City LEXINGTON
State KY
ZIP 40513
Phone 859 223-0701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Pharmacy
Lab Director ANYE WAMUCHO

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