18D1072491 CLIA NUMBER - MONROE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 18D1072491

Facility Name: MONROE COUNTY HEALTH DEPARTMENT

Facility Address:
452 EAST 4TH STREET
TOMPKINSVILLE, KY
ZIP 42167
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Facility Phone Number: 270 487-6782

Facility Type: Public Health Laboratories

Certificate Type: Microscopy

NPI Number: 1689658148

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	18D1072491
LAB Type	Public Health Laboratories
Facility Name	MONROE COUNTY HEALTH DEPARTMENT
Street	452 EAST 4TH STREET
City	TOMPKINSVILLE
State	KY
ZIP	42167
Phone	270 487-6782
CertificateType	3
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	PPMP

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