18D2121069 CLIA NUMBER - ETHAN HEALTH

Laboratory Demographics

  • CLIA Code: 18D2121069
  • Facility Name: ETHAN HEALTH
  • Facility Address: 1623 FOX HAVEN DR
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: 859 625-5235
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MS. JANETTE CARPENTER
  • NPI Number: 1205342748
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 18D2121069
LAB Type Physician Office
Facility Name ETHAN HEALTH
Street 1623 FOX HAVEN DR
City RICHMOND
State KY
ZIP 40475
Phone 859 625-5235
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director MS. JANETTE CARPENTER

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