18D1082558 CLIA NUMBER - CLINIC PHARMACY

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CLIA Record

Field Name Field Value
CLIA Number 18D1082558
LAB Type Pharmacy
Facility Name CLINIC PHARMACY
Street 201 PARK STREET
City BOWLING GREEN
State KY
ZIP 42101
Phone 270 781-3095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Pharmacy
Lab Director DONNIE G. RILEY

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