18D0324174 CLIA NUMBER - TRI-STATE GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 18D0324174
  • Facility Name: TRI-STATE GASTROENTEROLOGY
  • Facility Address: 425 CENTRE VIEW BLVD
    CRESTVIEW HILLS, KY
    ZIP 41017
  • Facility Phone: 812 584-3316
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STEPHEN C. ELIASON
  • NPI Number: 1487651956
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0324174
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TRI-STATE GASTROENTEROLOGY
Street 425 CENTRE VIEW BLVD
City CRESTVIEW HILLS
State KY
ZIP 41017
Phone 812 584-3316
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 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. STEPHEN C. ELIASON

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