18D2166430 CLIA NUMBER - DEACONESS OWENSBORO

Laboratory Demographics

  • CLIA Code: 18D2166430
  • Facility Name: DEACONESS OWENSBORO
  • Facility Address: 4551 SPRINGHILL DR
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 215-3199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VICTORIA C. EDWARDS
  • NPI Number: 1295391480
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2166430
LAB Type Physician Office
Facility Name DEACONESS OWENSBORO
Street 4551 SPRINGHILL DR
City OWENSBORO
State KY
ZIP 42303
Phone 270 215-3199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director DR. VICTORIA C. EDWARDS

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