18D2193034 CLIA NUMBER - IRVINE HEALTHCARE PHARMACY

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Laboratory Demographics

CLIA Number: 18D2193034

Facility Name: IRVINE HEALTHCARE PHARMACY

Facility Address:
1325 RICHMOND RD
IRVINE, KY
ZIP 40336
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Facility Phone Number: 606 723-5446

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1851327290

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	18D2193034
LAB Type	Pharmacy
Facility Name	IRVINE HEALTHCARE PHARMACY
Street	1325 RICHMOND RD
City	IRVINE
State	KY
ZIP	40336
Phone	606 723-5446
CertificateType	4
CertificateEffectiveDate	9/17/2022
CertificateExpirationDate	9/16/2024
FacilityType	Waiver

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