18D0985864 CLIA NUMBER - RIZWAN R KHAN MD

Laboratory Demographics

  • CLIA Code: 18D0985864
  • Facility Name: RIZWAN R KHAN MD
  • Facility Address: 1724 KENTON STREET SUITE 2D
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: 270 886-1544
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RIZWAN R. KHAN
  • NPI Number: 1780648592
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0985864
LAB Type Practitioner Other
Facility Name RIZWAN R KHAN MD
Street 1724 KENTON STREET SUITE 2D
City HOPKINSVILLE
State KY
ZIP 42240
Phone 270 886-1544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Practitioner Other
Lab Director RIZWAN R. KHAN

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