18D0950671 CLIA NUMBER - MCDOWELL PROFESSIONAL PHARMACY INC

Laboratory Demographics

  • CLIA Code: 18D0950671
  • Facility Name: MCDOWELL PROFESSIONAL PHARMACY INC
  • Facility Address: 9640 KY ROUTE 122
    MC DOWELL, KY
    ZIP 41647
  • Facility Phone: 606 377-1088
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN G. DAWSON
  • NPI Number: 1912071382
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D0950671
LAB Type Pharmacy
Facility Name MCDOWELL PROFESSIONAL PHARMACY INC
Street 9640 KY ROUTE 122
City MC DOWELL
State KY
ZIP 41647
Phone 606 377-1088
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 STEVEN G. DAWSON

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