18D1011031 CLIA NUMBER - MED CENTER HEALTH ADULT DAY CENTER

Laboratory Demographics

  • CLIA Code: 18D1011031
  • Facility Name: MED CENTER HEALTH ADULT DAY CENTER
  • Facility Address: 800 PARK STREET
    BOWLING GREEN, KY
    ZIP 42101
  • Facility Phone: 270 796-5555
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MS. STACIE M. BLEDSOE
  • NPI Number: 1114031069
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1011031
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MED CENTER HEALTH ADULT DAY CENTER
Street 800 PARK STREET
City BOWLING GREEN
State KY
ZIP 42101
Phone 270 796-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MS. STACIE M. BLEDSOE

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