18D0889247 CLIA NUMBER - KD CANNONSBURG PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 18D0889247
  • Facility Name: KD CANNONSBURG PRIMARY CARE
  • Facility Address: 12470 ROUTE 60 E
    ASHLAND, KY
    ZIP 41102
  • Facility Phone: 606 408-6300
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MS. JAYNE ESTEP

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CLIA Record

Field Name Field Value
CLIA Number 18D0889247
LAB Type Community Clinic
Facility Name KD CANNONSBURG PRIMARY CARE
Street 12470 ROUTE 60 E
City ASHLAND
State KY
ZIP 41102
Phone 606 408-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Community Clinic
Lab Director MS. JAYNE ESTEP

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