18D1019034 CLIA NUMBER - GRAVES GILBERT CLINIC CAVE CITY WILLIAMS

Laboratory Demographics

  • CLIA Code: 18D1019034
  • Facility Name: GRAVES GILBERT CLINIC CAVE CITY WILLIAMS
  • Facility Address: 400 N DIXIE HIGHWAY ATTN SELENA KING
    CAVE CITY, KY
    ZIP 42127
  • Facility Phone: 270 773-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROGER T. WILLIAMS
  • NPI Number: 1114948288
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 18D1019034
LAB Type Physician Office
Facility Name GRAVES GILBERT CLINIC CAVE CITY WILLIAMS
Street 400 N DIXIE HIGHWAY ATTN SELENA KING
City CAVE CITY
State KY
ZIP 42127
Phone 270 773-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director DR. ROGER T. WILLIAMS

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