18D2186482 CLIA NUMBER - MAIN STREET PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2186482
  • Facility Name: MAIN STREET PHARMACY
  • Facility Address: 289 MAIN STREET
    CADIZ, KY
    ZIP 42211
  • Facility Phone: 270 882-2222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER R. SHOWN
  • NPI Number: 1174090799
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2186482
LAB Type Pharmacy
Facility Name MAIN STREET PHARMACY
Street 289 MAIN STREET
City CADIZ
State KY
ZIP 42211
Phone 270 882-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Pharmacy
Lab Director MS. JENNIFER R. SHOWN

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