18D0954165 CLIA NUMBER - PATS PHARMACY INC

Laboratory Demographics

  • CLIA Code: 18D0954165
  • Facility Name: PATS PHARMACY INC
  • Facility Address: 498 WEST MAIN STREET
    LEBANON, KY
    ZIP 40033
  • Facility Phone: 502 692-4950
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JOESPH K. JOHNSON
  • NPI Number: 1427141159
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D0954165
LAB Type Pharmacy
Facility Name PATS PHARMACY INC
Street 498 WEST MAIN STREET
City LEBANON
State KY
ZIP 40033
Phone 502 692-4950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Pharmacy
Lab Director MR. JOESPH K. JOHNSON

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