18D2242499 CLIA NUMBER - ST ELIZABETH PHYSICIANS, NATURAL RESTORATIVE REPRODUCTIVE HEALTH

Laboratory Demographics

  • CLIA Code: 18D2242499
  • Facility Name: ST ELIZABETH PHYSICIANS, NATURAL RESTORATIVE REPRODUCTIVE HEALTH
  • Facility Address: 1400 NORTH GRAND AVE
    FORT THOMAS, KY
    ZIP 41075
  • Facility Phone: 859 578-5241
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. AMY FATHMAN
  • NPI Number: 1578984779
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2242499
LAB Type Physician Office
Facility Name ST ELIZABETH PHYSICIANS, NATURAL RESTORATIVE REPRODUCTIVE HEALTH
Street 1400 NORTH GRAND AVE
City FORT THOMAS
State KY
ZIP 41075
Phone 859 578-5241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director MS. AMY FATHMAN

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