18D1078304 CLIA NUMBER - DEACONESS CLINIC SEBREE

Laboratory Demographics

  • CLIA Code: 18D1078304
  • Facility Name: DEACONESS CLINIC SEBREE
  • Facility Address: 47 WEST WEBSTER
    SEBREE, KY
    ZIP 42455
  • Facility Phone: 270 835-7541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. CRYSTAL BUCHANAN
  • NPI Number: 1538788443
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1078304
LAB Type Physician Office
Facility Name DEACONESS CLINIC SEBREE
Street 47 WEST WEBSTER
City SEBREE
State KY
ZIP 42455
Phone 270 835-7541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director MR. CRYSTAL BUCHANAN

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