18D2175708 CLIA NUMBER - DEACONESS URGENT CARE & COMP HENDERSON

Laboratory Demographics

  • CLIA Code: 18D2175708
  • Facility Name: DEACONESS URGENT CARE & COMP HENDERSON
  • Facility Address: 2242 HWY 41 N
    HENDERSON, KY
    ZIP 42420
  • Facility Phone: 270 844-8515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETER LODICO
  • NPI Number: 1679118582
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2175708
LAB Type Physician Office
Facility Name DEACONESS URGENT CARE & COMP HENDERSON
Street 2242 HWY 41 N
City HENDERSON
State KY
ZIP 42420
Phone 270 844-8515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director DR. PETER LODICO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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