18D1025563 CLIA NUMBER - GLEN DALE CENTER

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CLIA Record

Field Name Field Value
CLIA Number 18D1025563
LAB Type Other
Facility Name GLEN DALE CENTER
Street 1030 COMMERCE DRIVE
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 502 245-2101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Other
Lab Director HOLLY TITUS

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