18D0716221 CLIA NUMBER - ST ELIZABETH PHYSICIANS

Laboratory Demographics

  • CLIA Code: 18D0716221
  • Facility Name: ST ELIZABETH PHYSICIANS
  • Facility Address: 300 BARNES ROAD
    WILLIAMSTOWN, KY
    ZIP 41097
  • Facility Phone: 859 824-8400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. BRENNAN C. BURKE
  • NPI Number: 1114974813
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 18D0716221
LAB Type Physician Office
Facility Name ST ELIZABETH PHYSICIANS
Street 300 BARNES ROAD
City WILLIAMSTOWN
State KY
ZIP 41097
Phone 859 824-8400
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 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director DR. BRENNAN C. BURKE

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This page was last updated on: 6/4/2025