18D0980429 CLIA NUMBER - ACTIVE DAY OF ELIZABETHTOWN

Laboratory Demographics

  • CLIA Code: 18D0980429
  • Facility Name: ACTIVE DAY OF ELIZABETHTOWN
  • Facility Address: 1238 WOODLAND DRIVE
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 270 763-9192
  • Facility Type: Other - ADHC
  • Facility Type: Waiver
  • Lab Director: MS. DEB FORD
  • NPI Number: 1578602819
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0980429
LAB Type Other - ADHC
Facility Name ACTIVE DAY OF ELIZABETHTOWN
Street 1238 WOODLAND DRIVE
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 270 763-9192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Other - ADHC
Lab Director MS. DEB FORD

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