18D2289600 CLIA NUMBER - JENNIE STUART FAMILY HEALTH DEPT OF JENNIE STUART MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 18D2289600
  • Facility Name: JENNIE STUART FAMILY HEALTH DEPT OF JENNIE STUART MEDICAL CENTER
  • Facility Address: 227 BURLEY AVENUE
    HOPKINSVILLE, KY
    ZIP 42240
  • Facility Phone: 270 887-6565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEROME BUDHAN
  • NPI Number: 1447708805
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2289600
LAB Type Physician Office
Facility Name JENNIE STUART FAMILY HEALTH DEPT OF JENNIE STUART MEDICAL CENTER
Street 227 BURLEY AVENUE
City HOPKINSVILLE
State KY
ZIP 42240
Phone 270 887-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director DR. JEROME BUDHAN

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