18D2270540 CLIA NUMBER - KW CONSULTING, LLC DBA FULLER LIFE COUNSELING PARTNERS

Laboratory Demographics

  • CLIA Code: 18D2270540
  • Facility Name: KW CONSULTING, LLC DBA FULLER LIFE COUNSELING PARTNERS
  • Facility Address: 5966 SCOTTSVILLE ROAD SUITE 3
    BOWLING GREEN, KY
    ZIP 42104
  • Facility Phone: 270 791-8189
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. KRISTINA WATT FULLER
  • NPI Number: 1679127781
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 18D2270540
LAB Type Practitioner Other
Facility Name KW CONSULTING, LLC DBA FULLER LIFE COUNSELING PARTNERS
Street 5966 SCOTTSVILLE ROAD SUITE 3
City BOWLING GREEN
State KY
ZIP 42104
Phone 270 791-8189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Practitioner Other
Lab Director MS. KRISTINA WATT FULLER

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