18D2249887 CLIA NUMBER - PATHWAY MENTAL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 18D2249887
  • Facility Name: PATHWAY MENTAL HEALTH, LLC
  • Facility Address: 11 MCLEOD LANE
    MADISONVILLE, KY
    ZIP 42431
  • Facility Phone: 270 245-2413
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. CANDACE M. HACK
  • NPI Number: 1982378436
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2249887
LAB Type Practitioner Other
Facility Name PATHWAY MENTAL HEALTH, LLC
Street 11 MCLEOD LANE
City MADISONVILLE
State KY
ZIP 42431
Phone 270 245-2413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Practitioner Other
Lab Director MS. CANDACE M. HACK

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