18D2012975 CLIA NUMBER - CALDWELL MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 18D2012975
  • Facility Name: CALDWELL MEDICAL ASSOCIATES
  • Facility Address: 302 MICBETH DRIVE
    PRINCETON, KY
    ZIP 42445
  • Facility Phone: 270 365-1225
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES L. LITTLEJOHN
  • NPI Number: 1992286207
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2012975
LAB Type Physician Office
Facility Name CALDWELL MEDICAL ASSOCIATES
Street 302 MICBETH DRIVE
City PRINCETON
State KY
ZIP 42445
Phone 270 365-1225
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director CHARLES L. LITTLEJOHN

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