18D0937776 CLIA NUMBER - JENNIE STUART OBSTETRICS & GYNECOLOGY A DEPARTMENT OF JENNIE STUART MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 18D0937776
  • Facility Name: JENNIE STUART OBSTETRICS & GYNECOLOGY A DEPARTMENT OF JENNIE STUART MEDICAL CENTER
  • Facility Address: 1717 HIGH ST, SUITE 4B
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: 270 887-9058
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. IAN SINK
  • NPI Number: 1659923316
  • Taxonomy: 207RX0202X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0937776
LAB Type Community Clinic
Facility Name JENNIE STUART OBSTETRICS & GYNECOLOGY A DEPARTMENT OF JENNIE STUART MEDICAL CENTER
Street 1717 HIGH ST, SUITE 4B
City HOPKINSVILLE
State KY
ZIP 42240
Phone 270 887-9058
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 12/24/2023
Certificate Expiration Date 12/23/2025
Facility Type Community Clinic
Lab Director DR. IAN SINK

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