18D0030662 CLIA NUMBER - MERCY HEALTH-MARCUM AND WALLACE HOSPITAL

Laboratory Demographics

  • CLIA Code: 18D0030662
  • Facility Name: MERCY HEALTH-MARCUM AND WALLACE HOSPITAL
  • Facility Address: 60 MERCY COURT
    IRVINE, KY
    ZIP 40336
  • Facility Phone: 606 726-2150
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GEORGE J. KIM
  • NPI Number: 1285632109
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 18D0030662
LAB Type Hospital
Facility Name MERCY HEALTH-MARCUM AND WALLACE HOSPITAL
Street 60 MERCY COURT
City IRVINE
State KY
ZIP 40336
Phone 606 726-2150
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Hospital
Lab Director DR. GEORGE J. KIM

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This page was last updated on: 6/4/2025