18D2270991 CLIA NUMBER - PATHWAYS INC - CRRU EAST

Laboratory Demographics

CLIA Number: 18D2270991

Facility Name: PATHWAYS INC - CRRU EAST

Facility Address:
201 22ND ST
ASHLAND, KY
ZIP 41101
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Facility Phone Number: 606 329-8588

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1982615043

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2270991
LAB Type	Community Clinic
Facility Name	PATHWAYS INC - CRRU EAST
Street	201 22ND ST
City	ASHLAND
State	KY
ZIP	41101
Phone	606 329-8588
CertificateType	4
CertificateEffectiveDate	10/25/2022
CertificateExpirationDate	10/24/2024
FacilityType	Waiver

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