18D1060234 CLIA NUMBER - MAGNOLIA HEALTH CENTER LLC

Laboratory Demographics

  • CLIA Code: 18D1060234
  • Facility Name: MAGNOLIA HEALTH CENTER LLC
  • Facility Address: 1381 CAMPBELL LANE
    BOWLING GREEN, KY
    ZIP 42104
  • Facility Phone: 270 843-0587
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOHN GOVER
  • NPI Number: 1144331216
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 18D1060234
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAGNOLIA HEALTH CENTER LLC
Street 1381 CAMPBELL LANE
City BOWLING GREEN
State KY
ZIP 42104
Phone 270 843-0587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JOHN GOVER

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