18D2136786 CLIA NUMBER - ST CAMILLUS URGENT CARE- LEITCHFIELD

Laboratory Demographics

  • CLIA Code: 18D2136786
  • Facility Name: ST CAMILLUS URGENT CARE- LEITCHFIELD
  • Facility Address: 312 NORTH MAIN STREET
    LEITCHFIELD, KY
    ZIP 42754
  • Facility Phone: 270 422-4110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. KEITH EVANS
  • NPI Number: 1700395654
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2136786
LAB Type Physician Office
Facility Name ST CAMILLUS URGENT CARE- LEITCHFIELD
Street 312 NORTH MAIN STREET
City LEITCHFIELD
State KY
ZIP 42754
Phone 270 422-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director MR. KEITH EVANS

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