18D2160407 CLIA NUMBER - WINDHAM DRUG

Laboratory Demographics

  • CLIA Code: 18D2160407
  • Facility Name: WINDHAM DRUG
  • Facility Address: 1605 S HWY 25W
    WILLIAMSBURG, KY
    ZIP 40769
  • Facility Phone: 606 549-3636
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JUSTIN M. SMITH
  • NPI Number: 1356514632
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2160407
LAB Type Pharmacy
Facility Name WINDHAM DRUG
Street 1605 S HWY 25W
City WILLIAMSBURG
State KY
ZIP 40769
Phone 606 549-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Pharmacy
Lab Director MR. JUSTIN M. SMITH

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