18D0325941 CLIA NUMBER - MCPEAK SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 18D0325941
  • Facility Name: MCPEAK SURGERY CENTER, LLC
  • Facility Address: 108 BRAVO BOULEVARD
    GLASGOW, KY
    ZIP 42141
  • Facility Phone: 270 651-2181
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH P. GIRA
  • NPI Number: 1881684538
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0325941
LAB Type Ambulatory Surgery Center
Facility Name MCPEAK SURGERY CENTER, LLC
Street 108 BRAVO BOULEVARD
City GLASGOW
State KY
ZIP 42141
Phone 270 651-2181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JOSEPH P. GIRA

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