18D0990772 CLIA NUMBER - ACTIVE DAY OF BOWLING GREEN

Laboratory Demographics

  • CLIA Code: 18D0990772
  • Facility Name: ACTIVE DAY OF BOWLING GREEN
  • Facility Address: 946 SEARCY WAY UNIT B
    BOWLING GREEN, KY
    ZIP 42103
  • Facility Phone: 270 782-6443
  • Facility Type: Other - ADULT DAY MEDICAL
  • Facility Type: Waiver
  • Lab Director: MS. DELISA SANFORD
  • NPI Number: 1669510517
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0990772
LAB Type Other - ADULT DAY MEDICAL
Facility Name ACTIVE DAY OF BOWLING GREEN
Street 946 SEARCY WAY UNIT B
City BOWLING GREEN
State KY
ZIP 42103
Phone 270 782-6443
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 - ADULT DAY MEDICAL
Lab Director MS. DELISA SANFORD

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