18D0326727 CLIA NUMBER - WOMEN'S CARE OF LAKE CUMBERLAND

Laboratory Demographics

  • CLIA Code: 18D0326727
  • Facility Name: WOMEN'S CARE OF LAKE CUMBERLAND
  • Facility Address: 333 BOGLE STREET
    SOMERSET, KY
    ZIP 42503
  • Facility Phone: 606 678-0705
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DALE E. RUTLEDGE
  • NPI Number: 1073063418
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0326727
LAB Type Physician Office
Facility Name WOMEN'S CARE OF LAKE CUMBERLAND
Street 333 BOGLE STREET
City SOMERSET
State KY
ZIP 42503
Phone 606 678-0705
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. DALE E. RUTLEDGE

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This page was last updated on: 3/20/2025