18D1074391 CLIA NUMBER - MADISON COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 18D1074391

Facility Name: MADISON COUNTY HEALTH DEPARTMENT

Facility Address:
214 BOGGS LANE
RICHMOND, KY
ZIP 40476
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Facility Phone Number: 859 623-7312

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1356521496

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	18D1074391
LAB Type	Public Health Laboratories
Facility Name	MADISON COUNTY HEALTH DEPARTMENT
Street	214 BOGGS LANE
City	RICHMOND
State	KY
ZIP	40476
Phone	859 623-7312
CertificateType	4
CertificateEffectiveDate	8/1/2022
CertificateExpirationDate	7/31/2024
FacilityType	Waiver

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