18D2024615 CLIA NUMBER - KENTUCKY STATE UNIVERSITY BETTY WHITE

Laboratory Demographics

  • CLIA Code: 18D2024615
  • Facility Name: KENTUCKY STATE UNIVERSITY BETTY WHITE
  • Facility Address: 400 EAST MAIN STREET ATT SAMANTHA TODD
    FRANKFORT, KY
    ZIP 40601
  • Facility Phone: 502 597-6277
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: MS. SAMANTHA A. TODD
  • NPI Number: 1437232519
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2024615
LAB Type School/Student Health Service
Facility Name KENTUCKY STATE UNIVERSITY BETTY WHITE
Street 400 EAST MAIN STREET ATT SAMANTHA TODD
City FRANKFORT
State KY
ZIP 40601
Phone 502 597-6277
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 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type School/Student Health Service
Lab Director MS. SAMANTHA A. TODD

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