18D2082758 CLIA NUMBER - JILL BRYANT APRN LLC

Laboratory Demographics

  • CLIA Code: 18D2082758
  • Facility Name: JILL BRYANT APRN LLC
  • Facility Address: 3277 N HIGHWAY 25W
    WILLIAMSBURG, KY
    ZIP 40769
  • Facility Phone: 606 549-8088
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JILL L. BRYANT
  • NPI Number: 1568778256
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2082758
LAB Type Practitioner Other
Facility Name JILL BRYANT APRN LLC
Street 3277 N HIGHWAY 25W
City WILLIAMSBURG
State KY
ZIP 40769
Phone 606 549-8088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Practitioner Other
Lab Director JILL L. BRYANT

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