18D1053556 CLIA NUMBER - KNOX PROFESSIONAL PHARMACY

Laboratory Demographics

  • CLIA Code: 18D1053556
  • Facility Name: KNOX PROFESSIONAL PHARMACY
  • Facility Address: 511 KNOX STREET
    BARBOURVILLE, KY
    ZIP 40906
  • Facility Phone: 606 546-3171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE F. HAMMONS
  • NPI Number: 1003810490
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1053556
LAB Type Pharmacy
Facility Name KNOX PROFESSIONAL PHARMACY
Street 511 KNOX STREET
City BARBOURVILLE
State KY
ZIP 40906
Phone 606 546-3171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Pharmacy
Lab Director GEORGE F. HAMMONS

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