18D2019515 CLIA NUMBER - ESTILL COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 18D2019515

Facility Name: ESTILL COUNTY HEALTH DEPARTMENT

Facility Address:
365 RIVER DRIVE
IRVINE, KY
ZIP 40336
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Facility Phone Number: 606 723-5254

Facility Type: Public Health Laboratories

Certificate Type: Microscopy

NPI Number: 1881693638

Taxonomy: 3416L0300X - Ambulance

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
CertificateType 3
CertificateEffectiveDate 8/12/2022
CertificateExpirationDate 8/11/2024
FacilityType PPMP

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