18D2158884 CLIA NUMBER - BENTON PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2158884
  • Facility Name: BENTON PHARMACY
  • Facility Address: 2606 MAIN STREET
    BENTON, KY
    ZIP 42025
  • Facility Phone: (270) 527-1409
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MORGAN L. BECK
  • NPI Number: 1205963691
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2158884
LAB Type Pharmacy
Facility Name BENTON PHARMACY
Street 2606 MAIN STREET
City BENTON
State KY
ZIP 42025
Phone 2705271409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director MS. MORGAN L. BECK

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