18D2215829 CLIA NUMBER - GAITHER SUITES AT WEST PARK

Laboratory Demographics

  • CLIA Code: 18D2215829
  • Facility Name: GAITHER SUITES AT WEST PARK
  • Facility Address: 4960 VILLAGE SQUARE DRIVE
    PADUCAH, KY
    ZIP 42001
  • Facility Phone: 270 442-3999
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. ARRIBE MARTIN
  • NPI Number: 1184043945
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2215829
LAB Type Assisted Living Facility
Facility Name GAITHER SUITES AT WEST PARK
Street 4960 VILLAGE SQUARE DRIVE
City PADUCAH
State KY
ZIP 42001
Phone 270 442-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Assisted Living Facility
Lab Director DR. ARRIBE MARTIN

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