18D2223765 CLIA NUMBER - KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #05866

Laboratory Demographics

  • CLIA Code: 18D2223765
  • Facility Name: KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #05866
  • Facility Address: 13900 SHELBYVILLE RD
    LOUISVILLE, KY
    ZIP 40245
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. JANET PO YI NG
  • NPI Number: 1780788638
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2223765
LAB Type Pharmacy
Facility Name KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #05866
Street 13900 SHELBYVILLE RD
City LOUISVILLE
State KY
ZIP 40245
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director MS. JANET PO YI NG

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