18D2198338 CLIA NUMBER - JENNIECARE URGENT CARE & OCCUPATIONAL HEALTH A DEPARTMENT OF JENNIE STUART MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 18D2198338
  • Facility Name: JENNIECARE URGENT CARE & OCCUPATIONAL HEALTH A DEPARTMENT OF JENNIE STUART MEDICAL CENTER
  • Facility Address: 10755 EAGLE WAY, SUITE 100
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: 270 887-0270
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL K. TOMS
  • NPI Number: 1437602745
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2198338
LAB Type Community Clinic
Facility Name JENNIECARE URGENT CARE & OCCUPATIONAL HEALTH A DEPARTMENT OF JENNIE STUART MEDICAL CENTER
Street 10755 EAGLE WAY, SUITE 100
City HOPKINSVILLE
State KY
ZIP 42240
Phone 270 887-0270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Community Clinic
Lab Director DR. MICHAEL K. TOMS

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