18D1096309 CLIA NUMBER - TAYLOR COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 18D1096309
  • Facility Name: TAYLOR COUNTY JAIL
  • Facility Address: 120 SOUTH CENTRAL AVE
    CAMPBELLSVILLE, KY
    ZIP 42719
  • Facility Phone: 270 469-3645
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD S. WILSON
  • NPI Number: 1659342178
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 18D1096309
LAB Type Other
Facility Name TAYLOR COUNTY JAIL
Street 120 SOUTH CENTRAL AVE
City CAMPBELLSVILLE
State KY
ZIP 42719
Phone 270 469-3645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Other
Lab Director DR. RICHARD S. WILSON

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