18D0951595 CLIA NUMBER - WELLINGTON PARC OF OWENSBORO

Laboratory Demographics

  • CLIA Code: 18D0951595
  • Facility Name: WELLINGTON PARC OF OWENSBORO
  • Facility Address: 2885 NEW HARTFORD ROAD
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 502 685-2374
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. PHILIP TRAVIS
  • NPI Number: 1598763898
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0951595
LAB Type Physician Office
Facility Name WELLINGTON PARC OF OWENSBORO
Street 2885 NEW HARTFORD ROAD
City OWENSBORO
State KY
ZIP 42303
Phone 502 685-2374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director MR. PHILIP TRAVIS

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This page was last updated on: 6/4/2025