18D0897017 CLIA NUMBER - DEACONESS CLINIC HENDERSON

Laboratory Demographics

  • CLIA Code: 18D0897017
  • Facility Name: DEACONESS CLINIC HENDERSON
  • Facility Address: 1300 MERRITT DRIVE, SUITE 100
    HENDERSON, KY
    ZIP 42420
  • Facility Phone: 270 827-0064
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SCOTT WATKINS
  • NPI Number: 1972165421
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0897017
LAB Type Physician Office
Facility Name DEACONESS CLINIC HENDERSON
Street 1300 MERRITT DRIVE, SUITE 100
City HENDERSON
State KY
ZIP 42420
Phone 270 827-0064
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 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director DR. SCOTT WATKINS

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