15D2185760 CLIA NUMBER - PAUL'S PHARMACY

Laboratory Demographics

  • CLIA Code: 15D2185760
  • Facility Name: PAUL'S PHARMACY
  • Facility Address: 2345 W FRANKLIN ST
    EVANSVILLE, IN
    ZIP 47712
  • Facility Phone: 812 425-4364
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN D. GARVEY
  • NPI Number: 1760570030
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2185760
LAB Type Pharmacy
Facility Name PAUL'S PHARMACY
Street 2345 W FRANKLIN ST
City EVANSVILLE
State IN
ZIP 47712
Phone 812 425-4364
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Pharmacy
Lab Director JONATHAN D. GARVEY

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