18D2044925 CLIA NUMBER - DEACONESS HENDERSON OBGYN

Laboratory Demographics

  • CLIA Code: 18D2044925
  • Facility Name: DEACONESS HENDERSON OBGYN
  • Facility Address: 1300 MERRITT DR STE 100
    HENDERSON, KY
    ZIP 42420
  • Facility Phone: 270 827-4000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. KRISTOPHER J. BEICKMAN
  • NPI Number: 1821076415
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 18D2044925
LAB Type Physician Office
Facility Name DEACONESS HENDERSON OBGYN
Street 1300 MERRITT DR STE 100
City HENDERSON
State KY
ZIP 42420
Phone 270 827-4000
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 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director DR. KRISTOPHER J. BEICKMAN

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This page was last updated on: 3/20/2025