18D1053726 CLIA NUMBER - OWENSBORO HEALTH MEDICAL GROUP - OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

CLIA Number: 18D1053726

Facility Name: OWENSBORO HEALTH MEDICAL GROUP - OBSTETRICS AND GYNECOLOGY

Facility Address:
910 WALLACE AVENUE, SUITE 302
LEITCHFIELD, KY
ZIP 42754
Get Directions

Facility Phone Number: 270 259-9415

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1407452683

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	18D1053726
LAB Type	Physician Office
Facility Name	OWENSBORO HEALTH MEDICAL GROUP - OBSTETRICS AND GYNECOLOGY
Street	910 WALLACE AVENUE, SUITE 302
City	LEITCHFIELD
State	KY
ZIP	42754
Phone	270 259-9415
CertificateType	3
CertificateEffectiveDate	5/3/2024
CertificateExpirationDate	5/2/2026
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024