18D2239214 CLIA NUMBER - FAMILY PHARMACY OF JACKSON

Laboratory Demographics

  • CLIA Code: 18D2239214
  • Facility Name: FAMILY PHARMACY OF JACKSON
  • Facility Address: 265 HWY 15 SOUTH
    JACKSON, KY
    ZIP 41339
  • Facility Phone: 606 666-5519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. EVERETT DUNAWAY
  • NPI Number: 1518006048
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2239214
LAB Type Pharmacy
Facility Name FAMILY PHARMACY OF JACKSON
Street 265 HWY 15 SOUTH
City JACKSON
State KY
ZIP 41339
Phone 606 666-5519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director MR. EVERETT DUNAWAY

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