18D2078165 CLIA NUMBER - MEDICA PHARMACY BLOOMFIELD

Laboratory Demographics

  • CLIA Code: 18D2078165
  • Facility Name: MEDICA PHARMACY BLOOMFIELD
  • Facility Address: 204 CHAPLIN RD
    BLOOMFIELD, KY
    ZIP 40008
  • Facility Phone: 502 252-8242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MRS. ALYSON R. ROBY
  • NPI Number: 1952712465
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2078165
LAB Type Pharmacy
Facility Name MEDICA PHARMACY BLOOMFIELD
Street 204 CHAPLIN RD
City BLOOMFIELD
State KY
ZIP 40008
Phone 502 252-8242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Pharmacy
Lab Director MRS. ALYSON R. ROBY

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