18D1082559 CLIA NUMBER - RILEY-WHITE DRUGS

Laboratory Demographics

  • CLIA Code: 18D1082559
  • Facility Name: RILEY-WHITE DRUGS
  • Facility Address: 153 NORTHWEST PARK SQUARE
    RUSSELLVILLE, KY
    ZIP 42276
  • Facility Phone: (270) 726-7626
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DONNIE G. RILEY
  • NPI Number: 1083787923
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1082559
LAB Type Pharmacy
Facility Name RILEY-WHITE DRUGS
Street 153 NORTHWEST PARK SQUARE
City RUSSELLVILLE
State KY
ZIP 42276
Phone 2707267626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2026
Certificate Expiration Date 4/13/2028
Facility Type Pharmacy
Lab Director MR. DONNIE G. RILEY

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This page was last updated on: 5/18/2026