18D0993924 CLIA NUMBER - PEDIATRIC CARE OF KENTUCKY PSC

Laboratory Demographics

  • CLIA Code: 18D0993924
  • Facility Name: PEDIATRIC CARE OF KENTUCKY PSC
  • Facility Address: 5495 NORTH BEND ROAD SUITE 101
    BURLINGTON, KY
    ZIP 41005
  • Facility Phone: 859 586-9030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH A. STOWERS
  • NPI Number: 1386921526
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 18D0993924
LAB Type Physician Office
Facility Name PEDIATRIC CARE OF KENTUCKY PSC
Street 5495 NORTH BEND ROAD SUITE 101
City BURLINGTON
State KY
ZIP 41005
Phone 859 586-9030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director KEITH A. STOWERS

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This page was last updated on: 6/4/2025