18D1026463 CLIA NUMBER - ENTLC

Laboratory Demographics

  • CLIA Code: 18D1026463
  • Facility Name: ENTLC
  • Facility Address: 991 MEDICAL PARK DR SUITE 207
    MAYSVILLE, KY
    ZIP 41056
  • Facility Phone: 606 759-4852
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GEORGE BAUER
  • NPI Number: 1124217765
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 18D1026463
LAB Type Physician Office
Facility Name ENTLC
Street 991 MEDICAL PARK DR SUITE 207
City MAYSVILLE
State KY
ZIP 41056
Phone 606 759-4852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director DR. GEORGE BAUER

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