18D2206684 CLIA NUMBER - PCMH HAWESVILLE CLINIC

Laboratory Demographics

  • CLIA Code: 18D2206684
  • Facility Name: PCMH HAWESVILLE CLINIC
  • Facility Address: 35 JOSHUA LANE
    HAWESVILLE, KY
    ZIP 42348
  • Facility Phone: 270 927-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GLENN A. SHERMAN
  • NPI Number: 1306443908
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2206684
LAB Type Physician Office
Facility Name PCMH HAWESVILLE CLINIC
Street 35 JOSHUA LANE
City HAWESVILLE
State KY
ZIP 42348
Phone 270 927-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director DR. GLENN A. SHERMAN

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