18D1074939 CLIA NUMBER - JESSAMINE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 18D1074939
  • Facility Name: JESSAMINE COUNTY HEALTH DEPARTMENT
  • Facility Address: 210 EAST WALNUT STREET
    NICHOLASVILLE, KY
    ZIP 40356
  • Facility Phone: 859 885-4149
  • Facility Type: Other - HEALTH DEPT.
  • Facility Type: Microscopy
  • Lab Director: DR. STEVEN DAVIS
  • NPI Number: 1215127303
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 18D1074939
LAB Type Other - HEALTH DEPT.
Facility Name JESSAMINE COUNTY HEALTH DEPARTMENT
Street 210 EAST WALNUT STREET
City NICHOLASVILLE
State KY
ZIP 40356
Phone 859 885-4149
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Other - HEALTH DEPT.
Lab Director DR. STEVEN DAVIS

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This page was last updated on: 3/20/2025