CLIA lab
CLIA 18D2038728: Walgreen # 12090
Mayfield, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2038728 belongs to Walgreen # 12090 in Mayfield, KY.
Certificate of Waiver, effective July 16, 2025, expires July 15, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 16, 2025
- Certificate expiration
- July 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 23, 2012
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 18D2038728
- Lab name
- Walgreen # 12090
- Address
- 635 S 6th Street, Mayfield, KY 42066
- Phone
- (270) 247-2272
- Fax
- (270) 247-3433
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mayfield, KY
- Air -Evac 108Certificate of Waiver, Ambulance18D2039683
- Baptist Health Medical Group Primary CareCertificate of Waiver, Physician office18D2323610
- Bluegrass Wellness MedicineCertificate of Waiver, Physician office18D2338630
- Bungalows at MayfieldCertificate of Waiver, Other18D2196791
- Fast Pace Kentucky, PLLCCertificate of Waiver, Physician office18D2112177
- Fern Terrace Lodge of MayfieldCertificate of Waiver, Other18D1012490
- Gibson's Pharmacy SouthsideCertificate of Waiver, Pharmacy18D2171738
- Graves County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Public health laboratory18D2005709
- Graves County High SchoolCertificate of Waiver, School or student health service18D2222975
- Graves County JailCertificate of Waiver, Prison18D2197331
Related
Questions
What is the CLIA number for Walgreen # 12090 in Mayfield?
18D2038728, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreen # 12090 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2038728 expire?
The CMS file lists July 15, 2027 as the certificate expiration date; the certificate took effect July 16, 2025.