18D1084102 CLIA NUMBER - CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 18D1084102
  • Facility Name: CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES
  • Facility Address: 108 COMMERCIAL AVENUE
    SPRINGFIELD, KY
    ZIP 40069
  • Facility Phone: 859 336-9388
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN W. CECCONI
  • NPI Number: 1114964681
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 18D1084102
LAB Type Practitioner Other
Facility Name CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES
Street 108 COMMERCIAL AVENUE
City SPRINGFIELD
State KY
ZIP 40069
Phone 859 336-9388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Practitioner Other
Lab Director JOHN W. CECCONI

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