18D2196810 CLIA NUMBER - NORTH CENTURY PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2196810
  • Facility Name: NORTH CENTURY PHARMACY
  • Facility Address: 3058 CAMPBELLSVILLE RD
    COLUMBIA, KY
    ZIP 42728
  • Facility Phone: (270) 380-1230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. EASTON B. BRYANT
  • NPI Number: 1417364662
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2196810
LAB Type Pharmacy
Facility Name NORTH CENTURY PHARMACY
Street 3058 CAMPBELLSVILLE RD
City COLUMBIA
State KY
ZIP 42728
Phone 2703801230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Pharmacy
Lab Director MR. EASTON B. BRYANT

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This page was last updated on: 6/29/2026