18D2045413 CLIA NUMBER - DEACONESS CLINIC LETCHER

Laboratory Demographics

  • CLIA Code: 18D2045413
  • Facility Name: DEACONESS CLINIC LETCHER
  • Facility Address: 411 LETCHER STREET
    HENDERSON, KY
    ZIP 42420
  • Facility Phone: 270 831-7950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. LOGAN VANSICKLE
  • NPI Number: 1346869252
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2045413
LAB Type Physician Office
Facility Name DEACONESS CLINIC LETCHER
Street 411 LETCHER STREET
City HENDERSON
State KY
ZIP 42420
Phone 270 831-7950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director MR. LOGAN VANSICKLE

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