CLIA lab
CLIA 18D2168251: Pine Mountain Pharmacy, Inc
Whitesburg, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2168251 belongs to Pine Mountain Pharmacy, Inc in Whitesburg, KY.
Certificate of Waiver, effective June 25, 2025, expires June 24, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 25, 2025
- Certificate expiration
- June 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 25, 2019
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 18D2168251
- Lab name
- Pine Mountain Pharmacy, Inc
- Address
- 421 Why 119 N, Whitesburg, KY 41858
- Phone
- (606) 633-5003
- Fax
- (606) 633-5097
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Whitesburg, KY
- Appalachian Community CareCertificate of Waiver, Physician office18D2163167
- East Kentucky RecoveryCertificate of Waiver, Physician office18D2277774
- Letcher County Public SchoolsCertificate of Waiver, School or student health service18D2187672
- Letcher County Schools Board of EducationCertificate of Waiver, School or student health service18D2045416
- Letcher ManorCertificate of Waiver, Skilled nursing or nursing facility18D0325284
- Mchc Whitesburg Medical ClinicCertificate of Compliance, Federally qualified health center18D0325290
- Mountain Comprehensive Care Center, Inc -Certificate of Waiver, Federally qualified health center18D2350309
- Pikeville Medical Center Specialty Clinic atCertificate of Waiver, Physician office18D2074461
- Primary Care Centers of Eastern KentuckyCertificate of Waiver, Physician office18D2291236
- Wal-Mart Stores East, LP DBACertificate of Waiver, Pharmacy18D2143169
Related
Questions
What is the CLIA number for Pine Mountain Pharmacy, Inc in Whitesburg?
18D2168251, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Mountain Pharmacy, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2168251 expire?
The CMS file lists June 24, 2027 as the certificate expiration date; the certificate took effect June 25, 2025.