18D2295563 CLIA NUMBER - UPPERLINE HEALTH BOWLING GREEN

Laboratory Demographics

  • CLIA Code: 18D2295563
  • Facility Name: UPPERLINE HEALTH BOWLING GREEN
  • Facility Address: 1850 WESTERN ST
    BOWLING GREEN, KY
    ZIP 42104
  • Facility Phone: 713 392-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. LORI STAR
  • NPI Number: 1558092965
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 18D2295563
LAB Type Physician Office
Facility Name UPPERLINE HEALTH BOWLING GREEN
Street 1850 WESTERN ST
City BOWLING GREEN
State KY
ZIP 42104
Phone 713 392-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director MS. LORI STAR

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