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

Laboratory Demographics

CLIA Number: 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
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Facility Phone Number: 270 887-9058

Facility Type: Community Clinic

Certificate Type: Microscopy
NPI Number: 1659923316

Taxonomy: 207RX0202X - Internal Medicine
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

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
CertificateType 3
CertificateEffectiveDate 12/24/2023
CertificateExpirationDate 12/23/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024