18D2157309 CLIA NUMBER - LINCOLN PARKWAY PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2157309
  • Facility Name: LINCOLN PARKWAY PHARMACY
  • Facility Address: 117 LINCOLN DR
    HODGENVILLE, KY
    ZIP 42748
  • Facility Phone: 270 358-2117
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. TEPHANNIE H. WHITE
  • NPI Number: 1093035354
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2157309
LAB Type Pharmacy
Facility Name LINCOLN PARKWAY PHARMACY
Street 117 LINCOLN DR
City HODGENVILLE
State KY
ZIP 42748
Phone 270 358-2117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Pharmacy
Lab Director MS. TEPHANNIE H. WHITE

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