18D2159791 CLIA NUMBER - GLENN'S APOTHECARY

Laboratory Demographics

  • CLIA Code: 18D2159791
  • Facility Name: GLENN'S APOTHECARY
  • Facility Address: 520 WEST GUM ST
    MARION, KY
    ZIP 42064
  • Facility Phone: 270 965-4101
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. TASHENA E. HILL
  • NPI Number: 1437182904
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2159791
LAB Type Pharmacy
Facility Name GLENN'S APOTHECARY
Street 520 WEST GUM ST
City MARION
State KY
ZIP 42064
Phone 270 965-4101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Pharmacy
Lab Director MS. TASHENA E. HILL

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