18D2183260 CLIA NUMBER - PHARMACY CENTER, INC, COLUMBIA PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2183260
  • Facility Name: PHARMACY CENTER, INC, COLUMBIA PHARMACY
  • Facility Address: 803 BURKSVILLE ST
    COLUMBIA, KY
    ZIP 42728
  • Facility Phone: 270 384-2118
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. MATTHEW JACKSON
  • NPI Number: 1104824424
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2183260
LAB Type Pharmacy
Facility Name PHARMACY CENTER, INC, COLUMBIA PHARMACY
Street 803 BURKSVILLE ST
City COLUMBIA
State KY
ZIP 42728
Phone 270 384-2118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Pharmacy
Lab Director MR. MATTHEW JACKSON

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