18D1004989 CLIA NUMBER - DANHAUER DRUG CO, INC

Laboratory Demographics

CLIA Number: 18D1004989

Facility Name: DANHAUER DRUG CO, INC

Facility Address:
330 FREDERICA STREET
OWENSBORO, KY
ZIP 42301
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Facility Phone Number: 270 684-2341

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144213406

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	18D1004989
LAB Type	Pharmacy
Facility Name	DANHAUER DRUG CO, INC
Street	330 FREDERICA STREET
City	OWENSBORO
State	KY
ZIP	42301
Phone	270 684-2341
CertificateType	4
CertificateEffectiveDate	10/10/2022
CertificateExpirationDate	10/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024