18D2059677 CLIA NUMBER - CLARK DIGESTIVE CARE CENTER

Laboratory Demographics

  • CLIA Code: 18D2059677
  • Facility Name: CLARK DIGESTIVE CARE CENTER
  • Facility Address: 225 HOSPITAL DRIVE, SUITE 315
    WINCHESTER, KY
    ZIP 40391
  • Facility Phone: 859 737-6649
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY REYNOLDS
  • NPI Number: 1144663220
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2059677
LAB Type Physician Office
Facility Name CLARK DIGESTIVE CARE CENTER
Street 225 HOSPITAL DRIVE, SUITE 315
City WINCHESTER
State KY
ZIP 40391
Phone 859 737-6649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director DR. GREGORY REYNOLDS

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