18D1090175 CLIA NUMBER - WOODFORD COUNTY HEALTH DEPT ATTN KELLY SIMPSON

Laboratory Demographics

CLIA Number: 18D1090175

Facility Name: WOODFORD COUNTY HEALTH DEPT ATTN KELLY SIMPSON

Facility Address:
229 NORTH MAIN
VERSAILLES, KY
ZIP 40383
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Facility Phone Number: 859 873-4541

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1710185657

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	18D1090175
LAB Type	Public Health Laboratories
Facility Name	WOODFORD COUNTY HEALTH DEPT ATTN KELLY SIMPSON
Street	229 NORTH MAIN
City	VERSAILLES
State	KY
ZIP	40383
Phone	859 873-4541
CertificateType	4
CertificateEffectiveDate	10/17/2022
CertificateExpirationDate	10/16/2024
FacilityType	Waiver

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