18D0325079 CLIA NUMBER - ARH TUG VALLEY MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 18D0325079

Facility Name: ARH TUG VALLEY MEDICAL ASSOCIATES

Facility Address:
306 HOSPITAL DRIVE
SOUTH WILLIAMSON, KY
ZIP 41503
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Facility Phone Number: 606 237-1795

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487762399

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D0325079
LAB Type	Physician Office
Facility Name	ARH TUG VALLEY MEDICAL ASSOCIATES
Street	306 HOSPITAL DRIVE
City	SOUTH WILLIAMSON
State	KY
ZIP	41503
Phone	606 237-1795
CertificateType	4
CertificateEffectiveDate	7/6/2022
CertificateExpirationDate	7/5/2024
FacilityType	Waiver

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