18D2020489 CLIA NUMBER - BRIDGEWATER MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 18D2020489
  • Facility Name: BRIDGEWATER MEDICAL CENTER
  • Facility Address: 760 MAIN STREET
    SACRAMENTO, KY
    ZIP 42372
  • Facility Phone: 270 927-8585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAYNA R. JONES
  • NPI Number: 1548574098
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2020489
LAB Type Physician Office
Facility Name BRIDGEWATER MEDICAL CENTER
Street 760 MAIN STREET
City SACRAMENTO
State KY
ZIP 42372
Phone 270 927-8585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director DR. JAYNA R. JONES

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