CLIA lab
CLIA 18D2271377: Great River Pharmacy LLC
Wickliffe, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2271377 belongs to Great River Pharmacy LLC in Wickliffe, KY.
Certificate of Waiver, effective November 1, 2024, expires October 31, 2026.
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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 1, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 1, 2022
- 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
- 18D2271377
- Lab name
- Great River Pharmacy LLC
- Address
- 451 Court Street, Wickliffe, KY 42087
- Phone
- (270) 335-3172
- Fax
- (270) 335-3339
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.
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Related
Questions
What is the CLIA number for Great River Pharmacy LLC in Wickliffe?
18D2271377, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Great River Pharmacy LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2271377 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect November 1, 2024.