18D0324008 CLIA NUMBER - KING'S DAUGHTERS' HEALTH

Laboratory Demographics

CLIA Number: 18D0324008

Facility Name: KING'S DAUGHTERS' HEALTH

Facility Address:
205 MARWILL DRIVE CARROLLTON MEDICAL BUILDING
CARROLLTON, KY
ZIP 41008
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Facility Phone Number: 502 732-6956

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194818609

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	18D0324008
LAB Type	Physician Office
Facility Name	KING'S DAUGHTERS' HEALTH
Street	205 MARWILL DRIVE CARROLLTON MEDICAL BUILDING
City	CARROLLTON
State	KY
ZIP	41008
Phone	502 732-6956
CertificateType	4
CertificateEffectiveDate	1/9/2024
CertificateExpirationDate	1/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024