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18D2063410 CLIA NUMBER - KENTUCKY CARE #43

Laboratory Demographics

CLIA Number: 18D2063410

Facility Name: KENTUCKY CARE #43

Facility Address:
125 S 20TH STREET
PADUCAH, KY
ZIP 42001
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Facility Phone Number: 270 575-3247

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver
NPI Number: 1912583394

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 18D2063410
LAB Type Federally Qualified Health Center
Facility Name KENTUCKY CARE #43
Street 125 S 20TH STREET
City PADUCAH
State KY
ZIP 42001
Phone 270 575-3247
CertificateType 4
CertificateEffectiveDate 8/1/2023
CertificateExpirationDate 7/31/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024