18D2183394 CLIA NUMBER - GRAYSON FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 18D2183394

Facility Name: GRAYSON FAMILY HEALTH CENTER

Facility Address:
645 INTERSTATE DR
GRAYSON, KY
ZIP 41143
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Facility Phone Number: 606 474-0669

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1659451177

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	18D2183394
LAB Type	Federally Qualified Health Center
Facility Name	GRAYSON FAMILY HEALTH CENTER
Street	645 INTERSTATE DR
City	GRAYSON
State	KY
ZIP	41143
Phone	606 474-0669
CertificateType	4
CertificateEffectiveDate	5/5/2024
CertificateExpirationDate	5/4/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024