18D2198235 CLIA NUMBER - WELLNESS PLACE LLC

Laboratory Demographics

  • CLIA Code: 18D2198235
  • Facility Name: WELLNESS PLACE LLC
  • Facility Address: 68 CEDAR STREET
    KUTTAWA, KY
    ZIP 42055
  • Facility Phone: (270) 601-4235
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL K. JONES
  • NPI Number: 1316208069
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 18D2198235
LAB Type Other - BEHAVIORAL HEALTH
Facility Name WELLNESS PLACE LLC
Street 68 CEDAR STREET
City KUTTAWA
State KY
ZIP 42055
Phone 2706014235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Other - BEHAVIORAL HEALTH
Lab Director DR. DANIEL K. JONES

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This page was last updated on: 5/18/2026