18D1101626 CLIA NUMBER - BRIDGEWATER MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 18D1101626
  • Facility Name: BRIDGEWATER MEDICAL CENTER
  • Facility Address: 230 MADISON SQUARE DRIVE SUITE C
    MADISONVILLE, KY
    ZIP 42431
  • Facility Phone: 270 821-6262
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. JAYNA R. JONES
  • NPI Number: 1245530799
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D1101626
LAB Type Practitioner Other
Facility Name BRIDGEWATER MEDICAL CENTER
Street 230 MADISON SQUARE DRIVE SUITE C
City MADISONVILLE
State KY
ZIP 42431
Phone 270 821-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Practitioner Other
Lab Director MS. JAYNA R. JONES

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