18D0965203 CLIA NUMBER - CHESTER L CRUMP MD PLLC

Laboratory Demographics

  • CLIA Code: 18D0965203
  • Facility Name: CHESTER L CRUMP MD PLLC
  • Facility Address: 1717 HIGH STREET SUITE 2D
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: 270 885-8838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHESTER L. CRUMP
  • NPI Number: 1477528339
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0965203
LAB Type Physician Office
Facility Name CHESTER L CRUMP MD PLLC
Street 1717 HIGH STREET SUITE 2D
City HOPKINSVILLE
State KY
ZIP 42240
Phone 270 885-8838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director CHESTER L. CRUMP

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