18D1005417 CLIA NUMBER - OLDHAM COUNTY AMBULANCE TAXING DISTRICT DBA OLDHAM COUNTY EMS

Laboratory Demographics

  • CLIA Code: 18D1005417
  • Facility Name: OLDHAM COUNTY AMBULANCE TAXING DISTRICT DBA OLDHAM COUNTY EMS
  • Facility Address: 1101 NEW MOODY LANE
    LA GRANGE, KY
    ZIP 40031
  • Facility Phone: 502 222-7250
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. KEITH SMITH
  • NPI Number: 1083765127
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D1005417
LAB Type Ambulance
Facility Name OLDHAM COUNTY AMBULANCE TAXING DISTRICT DBA OLDHAM COUNTY EMS
Street 1101 NEW MOODY LANE
City LA GRANGE
State KY
ZIP 40031
Phone 502 222-7250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Ambulance
Lab Director MR. KEITH SMITH

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