18D1007890 CLIA NUMBER - RED RIVER HEALTH CARE

Laboratory Demographics

  • CLIA Code: 18D1007890
  • Facility Name: RED RIVER HEALTH CARE
  • Facility Address: 321 C EAST COLLEGE AVE
    STANTON, KY
    ZIP 40380
  • Facility Phone: 606 663-9797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLI CREMEANS
  • NPI Number: 1013954510
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1007890
LAB Type Physician Office
Facility Name RED RIVER HEALTH CARE
Street 321 C EAST COLLEGE AVE
City STANTON
State KY
ZIP 40380
Phone 606 663-9797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2023
Certificate Expiration Date 6/21/2025
Facility Type Physician Office
Lab Director KELLI CREMEANS

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This page was last updated on: 3/20/2025