18D2162145 CLIA NUMBER - DRAFFENVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2162145
  • Facility Name: DRAFFENVILLE PHARMACY
  • Facility Address: 153 U S HWY 68 E
    BENTON, KY
    ZIP 42025
  • Facility Phone: 270 527-1404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MORGAN L. BECK
  • NPI Number: 1659389864
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2162145
LAB Type Pharmacy
Facility Name DRAFFENVILLE PHARMACY
Street 153 U S HWY 68 E
City BENTON
State KY
ZIP 42025
Phone 270 527-1404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Pharmacy
Lab Director MS. MORGAN L. BECK

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