18D2224519 CLIA NUMBER - KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #06217

Laboratory Demographics

  • CLIA Code: 18D2224519
  • Facility Name: KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #06217
  • Facility Address: 9575 TAYLORSVILLE RD
    JEFFERSONTOWN, KY
    ZIP 40299
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. SHILEY RIGGLE
  • NPI Number: 1013383884
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 18D2224519
LAB Type Pharmacy
Facility Name KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #06217
Street 9575 TAYLORSVILLE RD
City JEFFERSONTOWN
State KY
ZIP 40299
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 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director MS. SHILEY RIGGLE

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