18D2224554 CLIA NUMBER - KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #10812

Laboratory Demographics

  • CLIA Code: 18D2224554
  • Facility Name: KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #10812
  • Facility Address: 157 SOUTH BUCKMAN STREET
    SHEPHERDSVILLE, KY
    ZIP 40165
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BROOKE BROWN
  • NPI Number: 1649726258
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2224554
LAB Type Pharmacy
Facility Name KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #10812
Street 157 SOUTH BUCKMAN STREET
City SHEPHERDSVILLE
State KY
ZIP 40165
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. BROOKE BROWN

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