18D2258189 CLIA NUMBER - WESLEYAN MEDICAL COMPLEX

Laboratory Demographics

  • CLIA Code: 18D2258189
  • Facility Name: WESLEYAN MEDICAL COMPLEX
  • Facility Address: 3221 FREDERICA STREET STE A&B
    OWENSBORO, KY
    ZIP 42301
  • Facility Phone: 270 215-7755
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. SARA L. DOOLIN-THOMPSON
  • NPI Number: 1033864822
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2258189
LAB Type Practitioner Other
Facility Name WESLEYAN MEDICAL COMPLEX
Street 3221 FREDERICA STREET STE A&B
City OWENSBORO
State KY
ZIP 42301
Phone 270 215-7755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Practitioner Other
Lab Director MS. SARA L. DOOLIN-THOMPSON

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