18D2244142 CLIA NUMBER - PANACEA HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 18D2244142
  • Facility Name: PANACEA HEALTH CARE LLC
  • Facility Address: 140 KINGS DAUGHTER DRIVE
    FRANKFORT, KY
    ZIP 40601
  • Facility Phone: 502 219-2603
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. DENNIS L. HALL
  • NPI Number: 1700541646
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2244142
LAB Type Physician Office
Facility Name PANACEA HEALTH CARE LLC
Street 140 KINGS DAUGHTER DRIVE
City FRANKFORT
State KY
ZIP 40601
Phone 502 219-2603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director MR. DENNIS L. HALL

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