18D2282240 CLIA NUMBER - KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #06113

Laboratory Demographics

  • CLIA Code: 18D2282240
  • Facility Name: KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #06113
  • Facility Address: 4305 WINSTON AVE
    LATONIA, KY
    ZIP 41015
  • Facility Phone: 859 491-6300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. SCOTT SMITH
  • NPI Number: 1831292572
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2282240
LAB Type Pharmacy
Facility Name KENTUCKY CVS PHARMACY, LLC DBA CVS / PHARMACY #06113
Street 4305 WINSTON AVE
City LATONIA
State KY
ZIP 41015
Phone 859 491-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director MR. SCOTT SMITH

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