18D2178653 CLIA NUMBER - MAANYA LLC- TRIGG COUNTY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 18D2178653

Facility Name: MAANYA LLC- TRIGG COUNTY MEDICAL CLINIC

Facility Address:
116 MAIN ST
CADIZ, KY
ZIP 42211
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Facility Phone Number: 270 350-4504

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790317162

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	18D2178653
LAB Type	Physician Office
Facility Name	MAANYA LLC- TRIGG COUNTY MEDICAL CLINIC
Street	116 MAIN ST
City	CADIZ
State	KY
ZIP	42211
Phone	270 350-4504
CertificateType	4
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024