18D2126208 CLIA NUMBER - LETEK PLLC, DBA LIVINGSTON COMMUNITY CARE

Laboratory Demographics

  • CLIA Code: 18D2126208
  • Facility Name: LETEK PLLC, DBA LIVINGSTON COMMUNITY CARE
  • Facility Address: 9226 MAIN STREET
    LIVINGSTON, KY
    ZIP 40445
  • Facility Phone: 859 358-3069
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: THOMAS FOWLES
  • NPI Number: 1043766801
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2126208
LAB Type Community Clinic
Facility Name LETEK PLLC, DBA LIVINGSTON COMMUNITY CARE
Street 9226 MAIN STREET
City LIVINGSTON
State KY
ZIP 40445
Phone 859 358-3069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Community Clinic
Lab Director THOMAS FOWLES

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