18D0971636 CLIA NUMBER - ACTIVE DAY OF OWENSBORO

Laboratory Demographics

  • CLIA Code: 18D0971636
  • Facility Name: ACTIVE DAY OF OWENSBORO
  • Facility Address: 4598 LUCKY STRIKE LOOP
    OWENSBORO, KY
    ZIP 42301
  • Facility Phone: (270) 683-6127
  • Facility Type: Other - MEDICAL ADULT DAY CARE
  • Facility Type: Waiver
  • Lab Director: MS. SHANNON ROYAL
  • NPI Number: 1235277971
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0971636
LAB Type Other - MEDICAL ADULT DAY CARE
Facility Name ACTIVE DAY OF OWENSBORO
Street 4598 LUCKY STRIKE LOOP
City OWENSBORO
State KY
ZIP 42301
Phone 2706836127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2026
Certificate Expiration Date 3/16/2028
Facility Type Other - MEDICAL ADULT DAY CARE
Lab Director MS. SHANNON ROYAL

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This page was last updated on: 5/18/2026