18D2173513 CLIA NUMBER - MDSRUS LIMITED LIABILITY COMPANY

Laboratory Demographics

  • CLIA Code: 18D2173513
  • Facility Name: MDSRUS LIMITED LIABILITY COMPANY
  • Facility Address: 1927 S US HWY 25E
    BARBOURVILLE, KY
    ZIP 40906
  • Facility Phone: 606 546-7777
  • Facility Type: Other - MOBILE APRN OFFICE
  • Facility Type: Waiver
  • Lab Director: MS. GINA GOOD
  • NPI Number: 1144888959
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2173513
LAB Type Other - MOBILE APRN OFFICE
Facility Name MDSRUS LIMITED LIABILITY COMPANY
Street 1927 S US HWY 25E
City BARBOURVILLE
State KY
ZIP 40906
Phone 606 546-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Other - MOBILE APRN OFFICE
Lab Director MS. GINA GOOD

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