18D1061122 CLIA NUMBER - MARK VERONNEAU, PLASTICS AND ENT

Laboratory Demographics

  • CLIA Code: 18D1061122
  • Facility Name: MARK VERONNEAU, PLASTICS AND ENT
  • Facility Address: 5322 KY ROUTE 321
    PRESTONSBURG, KY
    ZIP 41653
  • Facility Phone: 815 939-9544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK J. VERONNEAU
  • NPI Number: 1932208899
  • Taxonomy: 207Y00000X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D1061122
LAB Type Physician Office
Facility Name MARK VERONNEAU, PLASTICS AND ENT
Street 5322 KY ROUTE 321
City PRESTONSBURG
State KY
ZIP 41653
Phone 815 939-9544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director MARK J. VERONNEAU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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