18D2285981 CLIA NUMBER - ALLIED ANESTHESIA, PLLC

Laboratory Demographics

  • CLIA Code: 18D2285981
  • Facility Name: ALLIED ANESTHESIA, PLLC
  • Facility Address: 1118 WOODLAND DRIVE
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 270 982-0825
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MR. WALTER E. BROWN
  • NPI Number: 1417658956
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2285981
LAB Type Practitioner Other
Facility Name ALLIED ANESTHESIA, PLLC
Street 1118 WOODLAND DRIVE
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 270 982-0825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Practitioner Other
Lab Director MR. WALTER E. BROWN

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