18D2262110 CLIA NUMBER - CANSLER HEALTH, LLC

Laboratory Demographics

CLIA Number: 18D2262110

Facility Name: CANSLER HEALTH, LLC

Facility Address:
308 W 15TH ST
HOPKINSVILLE, KY
ZIP 42240
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Facility Phone Number: 270 707-6897

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1225798671

Taxonomy: 363LP0808X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	18D2262110
LAB Type	Practitioner Other
Facility Name	CANSLER HEALTH, LLC
Street	308 W 15TH ST
City	HOPKINSVILLE
State	KY
ZIP	42240
Phone	270 707-6897
CertificateType	4
CertificateEffectiveDate	6/9/2022
CertificateExpirationDate	6/8/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024