18D0990772 CLIA NUMBER - ACTIVE DAY OF BOWLING GREEN

Laboratory Demographics

CLIA Number: 18D0990772

Facility Name: ACTIVE DAY OF BOWLING GREEN

Facility Address:
946 SEARCY WAY UNIT B
BOWLING GREEN, KY
ZIP 42103
Get Directions

Facility Phone Number: 270 782-6443

Facility Type: Other - ADULT DAY MEDICAL

Certificate Type: Waiver

NPI Number: 1669510517

Taxonomy: 261QA0600X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024