18D0992732 CLIA NUMBER - PROFESSIONAL PARK DIAGNOSTICS, PLLC

Laboratory Demographics

  • CLIA Code: 18D0992732
  • Facility Name: PROFESSIONAL PARK DIAGNOSTICS, PLLC
  • Facility Address: 3346 PROFESSIONAL PARK DR
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 685-1066
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MATHEIS CARRICO
  • NPI Number: 1235795352
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D0992732
LAB Type Independent
Facility Name PROFESSIONAL PARK DIAGNOSTICS, PLLC
Street 3346 PROFESSIONAL PARK DR
City OWENSBORO
State KY
ZIP 42303
Phone 270 685-1066
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Independent
Lab Director DR. MATHEIS CARRICO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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