18D2164112 CLIA NUMBER - PDC, LLC DBA PRINCETON DRUG STORE

Laboratory Demographics

  • CLIA Code: 18D2164112
  • Facility Name: PDC, LLC DBA PRINCETON DRUG STORE
  • Facility Address: 103 WEST MAIN STREET
    PRINCETON, KY
    ZIP 42445
  • Facility Phone: 270 365-5585
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. HEATH ADAMS
  • NPI Number: 1639273691
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2164112
LAB Type Pharmacy
Facility Name PDC, LLC DBA PRINCETON DRUG STORE
Street 103 WEST MAIN STREET
City PRINCETON
State KY
ZIP 42445
Phone 270 365-5585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Pharmacy
Lab Director DR. HEATH ADAMS

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This page was last updated on: 6/4/2025