18D2145391 CLIA NUMBER - AUDUBON AREA COMMUNITY SERVICES HEAD START

Laboratory Demographics

  • CLIA Code: 18D2145391
  • Facility Name: AUDUBON AREA COMMUNITY SERVICES HEAD START
  • Facility Address: 1700 WEST 5TH STREET
    OWENSBORO, KY
    ZIP 42301
  • Facility Phone: 270 686-1649
  • Facility Type: Other - NON-PROFIT MOBILE WAIVED
  • Facility Type: Waiver
  • Lab Director: MR. JEFF MARTIN
  • NPI Number: 1114462272
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2145391
LAB Type Other - NON-PROFIT MOBILE WAIVED
Facility Name AUDUBON AREA COMMUNITY SERVICES HEAD START
Street 1700 WEST 5TH STREET
City OWENSBORO
State KY
ZIP 42301
Phone 270 686-1649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Other - NON-PROFIT MOBILE WAIVED
Lab Director MR. JEFF MARTIN

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This page was last updated on: 3/20/2025