18D2119754 CLIA NUMBER - NKY MED CLINIC

Laboratory Demographics

  • CLIA Code: 18D2119754
  • Facility Name: NKY MED CLINIC
  • Facility Address: 1717 MADISON AVE
    COVINGTON, KY
    ZIP 41011
  • Facility Phone: 859 360-0250
  • Facility Type: Other - ALCOHOL AND DRUG TREATMT
  • Facility Type: Waiver
  • Lab Director: DR. LORI LEGRAND NATION
  • NPI Number: 1649681099
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2119754
LAB Type Other - ALCOHOL AND DRUG TREATMT
Facility Name NKY MED CLINIC
Street 1717 MADISON AVE
City COVINGTON
State KY
ZIP 41011
Phone 859 360-0250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Other - ALCOHOL AND DRUG TREATMT
Lab Director DR. LORI LEGRAND NATION

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