18D2272071 CLIA NUMBER - SEBREE MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 18D2272071
  • Facility Name: SEBREE MEDICAL GROUP LLC
  • Facility Address: 7139 STATE ROUTE 56 EAST
    SEBREE, KY
    ZIP 42455
  • Facility Phone: 270 318-5088
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MS. JOY GOBEN
  • NPI Number: 1902514904
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2272071
LAB Type Rural Health Clinic
Facility Name SEBREE MEDICAL GROUP LLC
Street 7139 STATE ROUTE 56 EAST
City SEBREE
State KY
ZIP 42455
Phone 270 318-5088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Rural Health Clinic
Lab Director MS. JOY GOBEN

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