18D1014013 CLIA NUMBER - BLUEGRASS APOTHECARY

Laboratory Demographics

  • CLIA Code: 18D1014013
  • Facility Name: BLUEGRASS APOTHECARY
  • Facility Address: 3000 ALVEY PARK DRIVE W
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 926-4080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. CARL P. LEWIS
  • NPI Number: 1659435618
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1014013
LAB Type Pharmacy
Facility Name BLUEGRASS APOTHECARY
Street 3000 ALVEY PARK DRIVE W
City OWENSBORO
State KY
ZIP 42303
Phone 270 926-4080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Pharmacy
Lab Director MR. CARL P. LEWIS

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