18D2067771 CLIA NUMBER - ETHOS HOLDING CORP DBA ETHOS LABORATORIES

Laboratory Demographics

  • CLIA Code: 18D2067771
  • Facility Name: ETHOS HOLDING CORP DBA ETHOS LABORATORIES
  • Facility Address: 29 E 6TH ST
    NEWPORT, KY
    ZIP 41071
  • Facility Phone: 859 993-9057
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES A. BOURLAND
  • NPI Number: 1104255215
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 18D2067771
LAB Type Independent
Facility Name ETHOS HOLDING CORP DBA ETHOS LABORATORIES
Street 29 E 6TH ST
City NEWPORT
State KY
ZIP 41071
Phone 859 993-9057
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Independent
Lab Director DR. JAMES A. BOURLAND

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