18D0975394 CLIA NUMBER - CDS #10 PHARMACY LLC DBA CDS #10 CLINICAL SERVICES

Laboratory Demographics

  • CLIA Code: 18D0975394
  • Facility Name: CDS #10 PHARMACY LLC DBA CDS #10 CLINICAL SERVICES
  • Facility Address: 1308 ASHLEY CIRCLE
    BOWLING GREEN, KY
    ZIP 42104
  • Facility Phone: 270 781-5661
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JANE L. LACEFIELD
  • NPI Number: 1073627055
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D0975394
LAB Type Pharmacy
Facility Name CDS #10 PHARMACY LLC DBA CDS #10 CLINICAL SERVICES
Street 1308 ASHLEY CIRCLE
City BOWLING GREEN
State KY
ZIP 42104
Phone 270 781-5661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Pharmacy
Lab Director MS. JANE L. LACEFIELD

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