18D2127957 CLIA NUMBER - TRIPCO MEDICAL

Laboratory Demographics

  • CLIA Code: 18D2127957
  • Facility Name: TRIPCO MEDICAL
  • Facility Address: 111 DERRICK ST
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: 270 632-4515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUTUMN TRIPLETT
  • NPI Number: 1770016941
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2127957
LAB Type Physician Office
Facility Name TRIPCO MEDICAL
Street 111 DERRICK ST
City HOPKINSVILLE
State KY
ZIP 42240
Phone 270 632-4515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Physician Office
Lab Director AUTUMN TRIPLETT

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