18D0326895 CLIA NUMBER - PRIMECARE PSC

Laboratory Demographics

  • CLIA Code: 18D0326895
  • Facility Name: PRIMECARE PSC
  • Facility Address: 2413 RING RD SUITE 110
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 270 765-4535
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MR. DAVID J. ZOELLER
  • NPI Number: 1023091600
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0326895
LAB Type Practitioner Other
Facility Name PRIMECARE PSC
Street 2413 RING RD SUITE 110
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 270 765-4535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Practitioner Other
Lab Director MR. DAVID J. ZOELLER

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