18D1040405 CLIA NUMBER - BAPTIST HEALTH MEDICAL GROUP OBGYN

Laboratory Demographics

  • CLIA Code: 18D1040405
  • Facility Name: BAPTIST HEALTH MEDICAL GROUP OBGYN
  • Facility Address: 2605 KENTUCKY AVENUE SUITE 301
    PADUCAH, KY
    ZIP 42003
  • Facility Phone: 270 575-4555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEWART B. TOLAR
  • NPI Number: 1841739612
  • Taxonomy: 246ZC0007X - Specialist/Technologist, Other

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CLIA Record

Field Name Field Value
CLIA Number 18D1040405
LAB Type Physician Office
Facility Name BAPTIST HEALTH MEDICAL GROUP OBGYN
Street 2605 KENTUCKY AVENUE SUITE 301
City PADUCAH
State KY
ZIP 42003
Phone 270 575-4555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2023
Certificate Expiration Date 5/8/2025
Facility Type Physician Office
Lab Director DR. STEWART B. TOLAR

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