18D0890176 CLIA NUMBER - GAMALIEL CLINIC

Laboratory Demographics

  • CLIA Code: 18D0890176
  • Facility Name: GAMALIEL CLINIC
  • Facility Address: 102 RHODES STREET
    GAMALIEL, KY
    ZIP 42140
  • Facility Phone: 502 457-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY EAKLE
  • NPI Number: 1386078004
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D0890176
LAB Type Physician Office
Facility Name GAMALIEL CLINIC
Street 102 RHODES STREET
City GAMALIEL
State KY
ZIP 42140
Phone 502 457-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Physician Office
Lab Director KIMBERLY EAKLE

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