18D2154964 CLIA NUMBER - ELY DRUGS INC

Laboratory Demographics

  • CLIA Code: 18D2154964
  • Facility Name: ELY DRUGS INC
  • Facility Address: 415 HAPPY VALLEY ROAD
    GLASGOW, KY
    ZIP 42141
  • Facility Phone: 270 651-8359
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. TRAVIS S. HUDNALL
  • NPI Number: 1306878988
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2154964
LAB Type Pharmacy
Facility Name ELY DRUGS INC
Street 415 HAPPY VALLEY ROAD
City GLASGOW
State KY
ZIP 42141
Phone 270 651-8359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Pharmacy
Lab Director MR. TRAVIS S. HUDNALL

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