18D0320438 CLIA NUMBER - WILLIAM D KIRK MD PLLC

Laboratory Demographics

  • CLIA Code: 18D0320438
  • Facility Name: WILLIAM D KIRK MD PLLC
  • Facility Address: 312 W HIGH STREET
    LEBANON, KY
    ZIP 40033
  • Facility Phone: 270 692-9559
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM D. KIRK
  • NPI Number: 1972595270
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0320438
LAB Type Physician Office
Facility Name WILLIAM D KIRK MD PLLC
Street 312 W HIGH STREET
City LEBANON
State KY
ZIP 40033
Phone 270 692-9559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director DR. WILLIAM D. KIRK

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