18D0990769 CLIA NUMBER - ACSR INC DBA RUSSELLVILLE ACTIVE DAY

Laboratory Demographics

  • CLIA Code: 18D0990769
  • Facility Name: ACSR INC DBA RUSSELLVILLE ACTIVE DAY
  • Facility Address: 3239 LEWISBURG ROAD
    RUSSELLVILLE, KY
    ZIP 42276
  • Facility Phone: 270 726-2100
  • Facility Type: Other - ADHC
  • Facility Type: Waiver
  • Lab Director: MS. JACKIE STEWART
  • NPI Number: 1578602033
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0990769
LAB Type Other - ADHC
Facility Name ACSR INC DBA RUSSELLVILLE ACTIVE DAY
Street 3239 LEWISBURG ROAD
City RUSSELLVILLE
State KY
ZIP 42276
Phone 270 726-2100
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. JACKIE STEWART

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