18D0860400 CLIA NUMBER - GEORGE H CAUDILL PSC

Laboratory Demographics

  • CLIA Code: 18D0860400
  • Facility Name: GEORGE H CAUDILL PSC
  • Facility Address: 1893 REDFOX ROAD
    REDFOX, KY
    ZIP 41847
  • Facility Phone: 606 642-3250
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL H. COOK
  • NPI Number: 1437129855
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 18D0860400
LAB Type Physician Office
Facility Name GEORGE H CAUDILL PSC
Street 1893 REDFOX ROAD
City REDFOX
State KY
ZIP 41847
Phone 606 642-3250
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 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director DR. MICHAEL H. COOK

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