18D2213238 CLIA NUMBER - DIANE GOETZ FAMILY PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 18D2213238
  • Facility Name: DIANE GOETZ FAMILY PRACTICE PLLC
  • Facility Address: 3000 ALVEY PARK DRIVE WEST SUITE D
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 215-7744
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. DIANE M. GOETZ
  • NPI Number: 1366972283
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2213238
LAB Type Practitioner Other
Facility Name DIANE GOETZ FAMILY PRACTICE PLLC
Street 3000 ALVEY PARK DRIVE WEST SUITE D
City OWENSBORO
State KY
ZIP 42303
Phone 270 215-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Practitioner Other
Lab Director MS. DIANE M. GOETZ

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