18D1095571 CLIA NUMBER - MASON FAMILY DRUG

Laboratory Demographics

  • CLIA Code: 18D1095571
  • Facility Name: MASON FAMILY DRUG
  • Facility Address: 912 KENTON STATION DRIVE
    MAYSVILLE, KY
    ZIP 41056
  • Facility Phone: 606 759-0700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT M. BERRY
  • NPI Number: 1699070896
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D1095571
LAB Type Pharmacy
Facility Name MASON FAMILY DRUG
Street 912 KENTON STATION DRIVE
City MAYSVILLE
State KY
ZIP 41056
Phone 606 759-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Pharmacy
Lab Director DR. ROBERT M. BERRY

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