18D0951865 CLIA NUMBER - ANGELA D LEWIS DO PSC

Laboratory Demographics

  • CLIA Code: 18D0951865
  • Facility Name: ANGELA D LEWIS DO PSC
  • Facility Address: 1021 KENWOOD DR
    RUSSELL, KY
    ZIP 41169
  • Facility Phone: 606 836-1954
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANGELA D. LEWIS
  • NPI Number: 1710073580
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0951865
LAB Type Physician Office
Facility Name ANGELA D LEWIS DO PSC
Street 1021 KENWOOD DR
City RUSSELL
State KY
ZIP 41169
Phone 606 836-1954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director DR. ANGELA D. LEWIS

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