18D0976401 CLIA NUMBER - POOLE'S PHARMACY CARE

Laboratory Demographics

  • CLIA Code: 18D0976401
  • Facility Name: POOLE'S PHARMACY CARE
  • Facility Address: 120 S 2ND ST
    CENTRAL CITY, KY
    ZIP 42330
  • Facility Phone: 270 754-1545
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. RONALD POOLE
  • NPI Number: 1972695427
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D0976401
LAB Type Pharmacy
Facility Name POOLE'S PHARMACY CARE
Street 120 S 2ND ST
City CENTRAL CITY
State KY
ZIP 42330
Phone 270 754-1545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Pharmacy
Lab Director MR. RONALD POOLE

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