18D0987472 CLIA NUMBER - LEBANON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D0987472
  • Facility Name: LEBANON PEDIATRICS
  • Facility Address: 311 WEST HIGH ST
    LEBANON, KY
    ZIP 40033
  • Facility Phone: 270 692-5811
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DIANE THOMAS
  • NPI Number: 1700969458
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0987472
LAB Type Federally Qualified Health Center
Facility Name LEBANON PEDIATRICS
Street 311 WEST HIGH ST
City LEBANON
State KY
ZIP 40033
Phone 270 692-5811
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Federally Qualified Health Center
Lab Director DR. DIANE THOMAS

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