18D2121422 CLIA NUMBER - DEACONESS EXPRESS OWENSBORO

Laboratory Demographics

  • CLIA Code: 18D2121422
  • Facility Name: DEACONESS EXPRESS OWENSBORO
  • Facility Address: 2710 HEARTLAND CROSSING BLVD
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 926-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DREW MEHTA
  • NPI Number: 1457843815
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2121422
LAB Type Physician Office
Facility Name DEACONESS EXPRESS OWENSBORO
Street 2710 HEARTLAND CROSSING BLVD
City OWENSBORO
State KY
ZIP 42303
Phone 270 926-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director DR. DREW MEHTA

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