18D0979199 CLIA NUMBER - ISOM COMMUNITY PHARMACY

Laboratory Demographics

  • CLIA Code: 18D0979199
  • Facility Name: ISOM COMMUNITY PHARMACY
  • Facility Address: 105 ISOM PLAZA
    ISOM, KY
    ZIP 41824
  • Facility Phone: 606 633-9238
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT E. BURRIS
  • NPI Number: 1699721720
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D0979199
LAB Type Pharmacy
Facility Name ISOM COMMUNITY PHARMACY
Street 105 ISOM PLAZA
City ISOM
State KY
ZIP 41824
Phone 606 633-9238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Pharmacy
Lab Director SCOTT E. BURRIS

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