18D0988703 CLIA NUMBER - J DAVID OUTLAND MD

Laboratory Demographics

  • CLIA Code: 18D0988703
  • Facility Name: J DAVID OUTLAND MD
  • Facility Address: 300 S 8TH STREET SUITE 405E
    MURRAY, KY
    ZIP 42071
  • Facility Phone: 270 759-4500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: J DAVID OUTLAND
  • NPI Number: 1629243860
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 18D0988703
LAB Type Physician Office
Facility Name J DAVID OUTLAND MD
Street 300 S 8TH STREET SUITE 405E
City MURRAY
State KY
ZIP 42071
Phone 270 759-4500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director J DAVID OUTLAND

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