18D2223756 CLIA NUMBER - KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #3016

Laboratory Demographics

CLIA Number: 18D2223756

Facility Name: KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #3016

Facility Address:
101 LACY LANE
PARIS, KY
ZIP 40361
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1962176347

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	18D2223756
LAB Type	Pharmacy
Facility Name	KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #3016
Street	101 LACY LANE
City	PARIS
State	KY
ZIP	40361
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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