18D2019515 CLIA NUMBER - ESTILL COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 18D2019515
  • Facility Name: ESTILL COUNTY HEALTH DEPARTMENT
  • Facility Address: 365 RIVER DRIVE
    IRVINE, KY
    ZIP 40336
  • Facility Phone: 606 723-5254
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: JAMES S. DAVIS MD
  • NPI Number: 1881693638
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 18D2019515
LAB Type Public Health Laboratories
Facility Name ESTILL COUNTY HEALTH DEPARTMENT
Street 365 RIVER DRIVE
City IRVINE
State KY
ZIP 40336
Phone 606 723-5254
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 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Public Health Laboratories
Lab Director JAMES S. DAVIS MD

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