18D0990754 CLIA NUMBER - ACSR INC DBA ACTIVE DAY OF CAMPBELLSVILLE

Laboratory Demographics

  • CLIA Code: 18D0990754
  • Facility Name: ACSR INC DBA ACTIVE DAY OF CAMPBELLSVILLE
  • Facility Address: 1500 E BROADWAY
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Facility Phone: 270 465-9279
  • Facility Type: Other - ADHC
  • Facility Type: Waiver
  • Lab Director: MS. JODI L. OLIVER
  • NPI Number: 1740328566
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0990754
LAB Type Other - ADHC
Facility Name ACSR INC DBA ACTIVE DAY OF CAMPBELLSVILLE
Street 1500 E BROADWAY
City CAMPBELLSVILLE
State KY
ZIP 42718
Phone 270 465-9279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Other - ADHC
Lab Director MS. JODI L. OLIVER

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