18D0693892 CLIA NUMBER - GLK ENTERPRISES, LLC DBA WILKES CLINIC

Laboratory Demographics

  • CLIA Code: 18D0693892
  • Facility Name: GLK ENTERPRISES, LLC DBA WILKES CLINIC
  • Facility Address: 104 MOHAWK STREET
    BROWNSVILLE, KY
    ZIP 42210
  • Facility Phone: 270 597-2155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAY KAUL, MD
  • NPI Number: 1386196350
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D0693892
LAB Type Physician Office
Facility Name GLK ENTERPRISES, LLC DBA WILKES CLINIC
Street 104 MOHAWK STREET
City BROWNSVILLE
State KY
ZIP 42210
Phone 270 597-2155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director SANJAY KAUL, MD

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