18D1073230 CLIA NUMBER - TERRADISE PROPERTIES, INC DBA THE MEDICINE SHOPPE

Laboratory Demographics

  • CLIA Code: 18D1073230
  • Facility Name: TERRADISE PROPERTIES, INC DBA THE MEDICINE SHOPPE
  • Facility Address: 900 HUSTONVILLE ROAD
    DANVILLE, KY
    ZIP 40422
  • Facility Phone: 859 238-0002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH A. COYLE
  • NPI Number: 1306918198
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1073230
LAB Type Pharmacy
Facility Name TERRADISE PROPERTIES, INC DBA THE MEDICINE SHOPPE
Street 900 HUSTONVILLE ROAD
City DANVILLE
State KY
ZIP 40422
Phone 859 238-0002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Pharmacy
Lab Director ELIZABETH A. COYLE

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