18D2126130 CLIA NUMBER - PREMIER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D2126130
  • Facility Name: PREMIER PEDIATRICS
  • Facility Address: 110 N WATER STREET
    HENDERSON, KY
    ZIP 42420
  • Facility Phone: (270) 212-1447
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER LILES
  • NPI Number: 1528502093
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D2126130
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS
Street 110 N WATER STREET
City HENDERSON
State KY
ZIP 42420
Phone 2702121447
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director JENNIFER LILES

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This page was last updated on: 5/18/2026