18D2290800 CLIA NUMBER - WALGREENS 17328

Laboratory Demographics

  • CLIA Code: 18D2290800
  • Facility Name: WALGREENS 17328
  • Facility Address: 9485 HIGHWAY 805
    JENKINS, KY
    ZIP 41537
  • Facility Phone: 606 832-2084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. KASSI B. ROSE
  • NPI Number: 1508389834
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2290800
LAB Type Pharmacy
Facility Name WALGREENS 17328
Street 9485 HIGHWAY 805
City JENKINS
State KY
ZIP 41537
Phone 606 832-2084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Pharmacy
Lab Director MS. KASSI B. ROSE

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