18D2290745 CLIA NUMBER - WALGREENS 19740

Laboratory Demographics

CLIA Number: 18D2290745

Facility Name: WALGREENS 19740

Facility Address:
3735 PALOMAR CENTRE DR STE 80
LEXINGTON, KY
ZIP 40513
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Facility Phone Number: 859 223-0701

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1104349547

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	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
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