18D2246758 CLIA NUMBER - PRACTITIONER SERVICES DBA TRU HEALTHCARE

Laboratory Demographics

  • CLIA Code: 18D2246758
  • Facility Name: PRACTITIONER SERVICES DBA TRU HEALTHCARE
  • Facility Address: 1102 SOUTH MAIN STREET
    LONDON, KY
    ZIP 40741
  • Facility Phone: 606 224-1834
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MS. LOUGHRAN REAGEN
  • NPI Number: 1821482118
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2246758
LAB Type Rural Health Clinic
Facility Name PRACTITIONER SERVICES DBA TRU HEALTHCARE
Street 1102 SOUTH MAIN STREET
City LONDON
State KY
ZIP 40741
Phone 606 224-1834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Rural Health Clinic
Lab Director MS. LOUGHRAN REAGEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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