18D0892521 CLIA NUMBER - PRAKASH SHAH

Laboratory Demographics

  • CLIA Code: 18D0892521
  • Facility Name: PRAKASH SHAH
  • Facility Address: 1724 KENTON STREET DOCTORS PAVILION SUITE 1D
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: 502 887-9066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRAKASH N. SHAH
  • NPI Number: 1679753073
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0892521
LAB Type Physician Office
Facility Name PRAKASH SHAH
Street 1724 KENTON STREET DOCTORS PAVILION SUITE 1D
City HOPKINSVILLE
State KY
ZIP 42240
Phone 502 887-9066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director PRAKASH N. SHAH

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