18D2251622 CLIA NUMBER - DR WATSON CONCIERGE MEDICINE, PLLC

Laboratory Demographics

  • CLIA Code: 18D2251622
  • Facility Name: DR WATSON CONCIERGE MEDICINE, PLLC
  • Facility Address: 584 WESTPORT RD SUITE 102
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 270 212-6343
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREA T. WATSON
  • NPI Number: 1396497137
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2251622
LAB Type Physician Office
Facility Name DR WATSON CONCIERGE MEDICINE, PLLC
Street 584 WESTPORT RD SUITE 102
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 270 212-6343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director DR. ANDREA T. WATSON

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