18D2290251 CLIA NUMBER - CRESTWOOD DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 18D2290251
  • Facility Name: CRESTWOOD DIAGNOSTIC CENTER
  • Facility Address: 6580 KENWOOD CROSSING RD
    CRESTWOOD, KY
    ZIP 40014
  • Facility Phone: 502 241-1660
  • Facility Type: Other - OUTPATIENT DEPARTMENT
  • Facility Type: Waiver
  • Lab Director: MR. BENNY W. MAY
  • NPI Number: 1447478409
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 18D2290251
LAB Type Other - OUTPATIENT DEPARTMENT
Facility Name CRESTWOOD DIAGNOSTIC CENTER
Street 6580 KENWOOD CROSSING RD
City CRESTWOOD
State KY
ZIP 40014
Phone 502 241-1660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Other - OUTPATIENT DEPARTMENT
Lab Director MR. BENNY W. MAY

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