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

Laboratory Demographics

CLIA Number: 18D2224519

Facility Name: KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #06217

Facility Address:
9575 TAYLORSVILLE RD
JEFFERSONTOWN, KY
ZIP 40299
Get Directions

Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1013383884

Taxonomy: 1041C0700X - Social Worker
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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
CertificateType	4
CertificateEffectiveDate	5/13/2023
CertificateExpirationDate	5/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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