18D0899976 CLIA NUMBER - TRIGG COUNTY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 18D0899976
  • Facility Name: TRIGG COUNTY PRIMARY CARE
  • Facility Address: 214 MAIN STREET
    CADIZ, KY
    ZIP 42211
  • Facility Phone: 270 522-0898
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. META GODBOLE
  • NPI Number: 1548392764
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0899976
LAB Type Rural Health Clinic
Facility Name TRIGG COUNTY PRIMARY CARE
Street 214 MAIN STREET
City CADIZ
State KY
ZIP 42211
Phone 270 522-0898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Rural Health Clinic
Lab Director DR. META GODBOLE

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