18D2115275 CLIA NUMBER - T J HEALTH CAVE CITY CLINIC

Laboratory Demographics

  • CLIA Code: 18D2115275
  • Facility Name: T J HEALTH CAVE CITY CLINIC
  • Facility Address: 440 EAST HAPPY VALLEY ROAD
    CAVE CITY, KY
    ZIP 42127
  • Facility Phone: 270 651-4162
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MS. KENDRA SORRELL
  • NPI Number: 1629429360
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2115275
LAB Type Rural Health Clinic
Facility Name T J HEALTH CAVE CITY CLINIC
Street 440 EAST HAPPY VALLEY ROAD
City CAVE CITY
State KY
ZIP 42127
Phone 270 651-4162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Rural Health Clinic
Lab Director MS. KENDRA SORRELL

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This page was last updated on: 6/4/2025