18D2224557 CLIA NUMBER - KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #10856

Laboratory Demographics

  • CLIA Code: 18D2224557
  • Facility Name: KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #10856
  • Facility Address: 3905 TAYLORSVILLE RD
    LOUISVILLE, KY
    ZIP 40220
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FODAY KAMARA
  • NPI Number: 1295405835
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 18D2224557
LAB Type Pharmacy
Facility Name KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #10856
Street 3905 TAYLORSVILLE RD
City LOUISVILLE
State KY
ZIP 40220
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 FODAY KAMARA

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