18D2170721 CLIA NUMBER - JEFF'S PRESCRIPTION SHOP

Laboratory Demographics

  • CLIA Code: 18D2170721
  • Facility Name: JEFF'S PRESCRIPTION SHOP
  • Facility Address: 2415 RING RD
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 270 765-2157
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. KENT F. WILLIAMS
  • NPI Number: 1447330675
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2170721
LAB Type Pharmacy
Facility Name JEFF'S PRESCRIPTION SHOP
Street 2415 RING RD
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 270 765-2157
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. KENT F. WILLIAMS

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