18D2216729 CLIA NUMBER - CENTRAL KENTUCKY COMMUNITY ACTION COUNCIL HEAD START

Laboratory Demographics

  • CLIA Code: 18D2216729
  • Facility Name: CENTRAL KENTUCKY COMMUNITY ACTION COUNCIL HEAD START
  • Facility Address: 332 HOOD AVENUE
    LEBANON, KY
    ZIP 40033
  • Facility Phone: 270 692-2136
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MS. NICOLE E. BURCHELL
  • NPI Number: 1902843378
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 18D2216729
LAB Type School/Student Health Service
Facility Name CENTRAL KENTUCKY COMMUNITY ACTION COUNCIL HEAD START
Street 332 HOOD AVENUE
City LEBANON
State KY
ZIP 40033
Phone 270 692-2136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type School/Student Health Service
Lab Director MS. NICOLE E. BURCHELL

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