18D0648616 CLIA NUMBER - PADUCAH OPHTHALMOLOGY ASC, LLC

Laboratory Demographics

  • CLIA Code: 18D0648616
  • Facility Name: PADUCAH OPHTHALMOLOGY ASC, LLC
  • Facility Address: 100 MEDICAL CENTER DRIVE
    PADUCAH, KY
    ZIP 42003
  • Facility Phone: 270 442-1024
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MS. MELISSA SIMPSON
  • NPI Number: 1124091897
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0648616
LAB Type Ambulatory Surgery Center
Facility Name PADUCAH OPHTHALMOLOGY ASC, LLC
Street 100 MEDICAL CENTER DRIVE
City PADUCAH
State KY
ZIP 42003
Phone 270 442-1024
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 MS. MELISSA SIMPSON

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