18D0862338 CLIA NUMBER - AARON K JONAN MEMORIAL CLINIC

Laboratory Demographics

  • CLIA Code: 18D0862338
  • Facility Name: AARON K JONAN MEMORIAL CLINIC
  • Facility Address: 832 HWY 15 NORTH
    JACKSON, KY
    ZIP 41339
  • Facility Phone: 606 666-5142
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. LEONOR E. PAGTAKHAN-SO
  • NPI Number: 1477569226
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0862338
LAB Type Rural Health Clinic
Facility Name AARON K JONAN MEMORIAL CLINIC
Street 832 HWY 15 NORTH
City JACKSON
State KY
ZIP 41339
Phone 606 666-5142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Rural Health Clinic
Lab Director DR. LEONOR E. PAGTAKHAN-SO

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