18D2182599 CLIA NUMBER - ADAIR PHARMACY, INC DBA GREEN RIVER PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2182599
  • Facility Name: ADAIR PHARMACY, INC DBA GREEN RIVER PHARMACY
  • Facility Address: 50 DILLON ST
    LIBERTY, KY
    ZIP 42539
  • Facility Phone: 606 787-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. BRITTAIN JACKSON
  • NPI Number: 1770864852
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2182599
LAB Type Physician Office
Facility Name ADAIR PHARMACY, INC DBA GREEN RIVER PHARMACY
Street 50 DILLON ST
City LIBERTY
State KY
ZIP 42539
Phone 606 787-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director MS. BRITTAIN JACKSON

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