18D2170719 CLIA NUMBER - THRIFTY PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2170719
  • Facility Name: THRIFTY PHARMACY
  • Facility Address: 127 E MAIN STREET
    PROVIDENCE, KY
    ZIP 42450
  • Facility Phone: 270 667-2049
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. THOMAS P. GLOVER
  • NPI Number: 1255478434
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2170719
LAB Type Pharmacy
Facility Name THRIFTY PHARMACY
Street 127 E MAIN STREET
City PROVIDENCE
State KY
ZIP 42450
Phone 270 667-2049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Pharmacy
Lab Director MR. THOMAS P. GLOVER

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