18D0326507 CLIA NUMBER - DEACONESS CLINIC DIXON RHC

Laboratory Demographics

  • CLIA Code: 18D0326507
  • Facility Name: DEACONESS CLINIC DIXON RHC
  • Facility Address: 1355 US HWY 41 A SOUTH
    DIXON, KY
    ZIP 42409
  • Facility Phone: 270 833-7549
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KELLY COLE
  • NPI Number: 1184243370
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D0326507
LAB Type Physician Office
Facility Name DEACONESS CLINIC DIXON RHC
Street 1355 US HWY 41 A SOUTH
City DIXON
State KY
ZIP 42409
Phone 270 833-7549
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director DR. KELLY COLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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