18D1022826 CLIA NUMBER - STEPHENS' FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 18D1022826
  • Facility Name: STEPHENS' FAMILY MEDICINE
  • Facility Address: 70 UBERMONKEY LANE
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Facility Phone: 270 465-0060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CASSANDRA P. STEPHENS
  • NPI Number: 1033320205
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D1022826
LAB Type Physician Office
Facility Name STEPHENS' FAMILY MEDICINE
Street 70 UBERMONKEY LANE
City CAMPBELLSVILLE
State KY
ZIP 42718
Phone 270 465-0060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director DR. CASSANDRA P. STEPHENS

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