18D2204721 CLIA NUMBER - MIDDLETOWN PHARMACY & WELLNESS

Laboratory Demographics

  • CLIA Code: 18D2204721
  • Facility Name: MIDDLETOWN PHARMACY & WELLNESS
  • Facility Address: 11601 SHELBYVILLE RD SUITE A
    LOUISVILLE, KY
    ZIP 40243
  • Facility Phone: 502 690-2410
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. TARA SCHNEIDER
  • NPI Number: 1306445259
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2204721
LAB Type Pharmacy
Facility Name MIDDLETOWN PHARMACY & WELLNESS
Street 11601 SHELBYVILLE RD SUITE A
City LOUISVILLE
State KY
ZIP 40243
Phone 502 690-2410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director MS. TARA SCHNEIDER

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This page was last updated on: 6/4/2025