18D0705285 CLIA NUMBER - J ROSS PSC

Laboratory Demographics

  • CLIA Code: 18D0705285
  • Facility Name: J ROSS PSC
  • Facility Address: 2816 VEACH RD SUITE 403
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 684-9218
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. J R. ROSS
  • NPI Number: 1679583942
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 18D0705285
LAB Type Physician Office
Facility Name J ROSS PSC
Street 2816 VEACH RD SUITE 403
City OWENSBORO
State KY
ZIP 42303
Phone 270 684-9218
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 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director DR. J R. ROSS

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