18D2239222 CLIA NUMBER - RESILIENT RX, LLC

Laboratory Demographics

  • CLIA Code: 18D2239222
  • Facility Name: RESILIENT RX, LLC
  • Facility Address: 2755 WEST PARK DRIVE
    PADUCAH, KY
    ZIP 42001
  • Facility Phone: 270 443-0909
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. BRANDY KEY
  • NPI Number: 1538767835
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2239222
LAB Type Pharmacy
Facility Name RESILIENT RX, LLC
Street 2755 WEST PARK DRIVE
City PADUCAH
State KY
ZIP 42001
Phone 270 443-0909
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 MS. BRANDY KEY

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