18D2126211 CLIA NUMBER - DEACONESS CLINIC PHILPOT

Laboratory Demographics

  • CLIA Code: 18D2126211
  • Facility Name: DEACONESS CLINIC PHILPOT
  • Facility Address: 6071 KY- 54
    PHILPOT, KY
    ZIP 42366
  • Facility Phone: (270) 713-0177
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. LINDA BOARMAN
  • NPI Number: 1942032610
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2126211
LAB Type Physician Office
Facility Name DEACONESS CLINIC PHILPOT
Street 6071 KY- 54
City PHILPOT
State KY
ZIP 42366
Phone 2707130177
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 Physician Office
Lab Director MS. LINDA BOARMAN

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