18D2242885 CLIA NUMBER - DIABETES CARE CLINIC-BARDSTOWN

Laboratory Demographics

  • CLIA Code: 18D2242885
  • Facility Name: DIABETES CARE CLINIC-BARDSTOWN
  • Facility Address: 3615 E JOHN ROWAN BLVD, 201
    BARDSTOWN, KY
    ZIP 40004
  • Facility Phone: 270 706-6944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. VANESSA PADDY
  • NPI Number: 1710173349
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 18D2242885
LAB Type Physician Office
Facility Name DIABETES CARE CLINIC-BARDSTOWN
Street 3615 E JOHN ROWAN BLVD, 201
City BARDSTOWN
State KY
ZIP 40004
Phone 270 706-6944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director MS. VANESSA PADDY

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