18D0950629 CLIA NUMBER - BARDWELL PHARMACY

Laboratory Demographics

  • CLIA Code: 18D0950629
  • Facility Name: BARDWELL PHARMACY
  • Facility Address: 178 US HWY 51N
    BARDWELL, KY
    ZIP 42023
  • Facility Phone: 270 682-5445
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS C. AUGUSTUS
  • NPI Number: 1720468689
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D0950629
LAB Type Pharmacy
Facility Name BARDWELL PHARMACY
Street 178 US HWY 51N
City BARDWELL
State KY
ZIP 42023
Phone 270 682-5445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Pharmacy
Lab Director CHRIS C. AUGUSTUS

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