18D2274741 CLIA NUMBER - ONE CROSS COMMUNITY INC

Laboratory Demographics

  • CLIA Code: 18D2274741
  • Facility Name: ONE CROSS COMMUNITY INC
  • Facility Address: 429 WEST WALNUT ST
    LEBANON, KY
    ZIP 40033
  • Facility Phone: 270 403-1106
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MS. KIM R. MCKENNA
  • NPI Number: 1215404082
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2274741
LAB Type Federally Qualified Health Center
Facility Name ONE CROSS COMMUNITY INC
Street 429 WEST WALNUT ST
City LEBANON
State KY
ZIP 40033
Phone 270 403-1106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Federally Qualified Health Center
Lab Director MS. KIM R. MCKENNA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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