18D2233877 CLIA NUMBER - CENTENNIAL HEART, LLC D/B/A CENTENNIAL HEART AT GREENVIEW

Laboratory Demographics

  • CLIA Code: 18D2233877
  • Facility Name: CENTENNIAL HEART, LLC D/B/A CENTENNIAL HEART AT GREENVIEW
  • Facility Address: 3112 FAIRVIEW DRIVE
    OWENSBORO, KY
    ZIP 42303
  • Facility Phone: 270 240-2129
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ROSHAN K. MATHEW
  • NPI Number: 1063966778
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2233877
LAB Type Physician Office
Facility Name CENTENNIAL HEART, LLC D/B/A CENTENNIAL HEART AT GREENVIEW
Street 3112 FAIRVIEW DRIVE
City OWENSBORO
State KY
ZIP 42303
Phone 270 240-2129
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director DR. ROSHAN K. MATHEW

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