18D0975396 CLIA NUMBER - BRIAN M PAYNE APRN PSC

Laboratory Demographics

  • CLIA Code: 18D0975396
  • Facility Name: BRIAN M PAYNE APRN PSC
  • Facility Address: 722 W BYERS AVE
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 926-1650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. BRIAN M. PAYNE
  • NPI Number: 1588896823
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D0975396
LAB Type Physician Office
Facility Name BRIAN M PAYNE APRN PSC
Street 722 W BYERS AVE
City OWENSBORO
State KY
ZIP 42303
Phone 270 926-1650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Physician Office
Lab Director MR. BRIAN M. PAYNE

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