18D0322400 CLIA NUMBER - CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 18D0322400
  • Facility Name: CHILDREN'S CLINIC
  • Facility Address: 223 RIVER DRIVE
    IRVINE, KY
    ZIP 40336
  • Facility Phone: 606 723-5142
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JULIE KENNON
  • NPI Number: 1740381441
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0322400
LAB Type Community Clinic
Facility Name CHILDREN'S CLINIC
Street 223 RIVER DRIVE
City IRVINE
State KY
ZIP 40336
Phone 606 723-5142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Community Clinic
Lab Director DR. JULIE KENNON

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