18D2302876 CLIA NUMBER - TRISTATE MEN'S HEALTH CRESTVIEW HILLS

Laboratory Demographics

  • CLIA Code: 18D2302876
  • Facility Name: TRISTATE MEN'S HEALTH CRESTVIEW HILLS
  • Facility Address: 2900 CHANCELLOR DRIVE, SUITE 201
    CRESTVIEW HILLS, KY
    ZIP 41017
  • Facility Phone: 859 982-0381
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MS. ELIZABETH C. BAKKEN
  • NPI Number: 1235206764
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 18D2302876
LAB Type Physician Office
Facility Name TRISTATE MEN'S HEALTH CRESTVIEW HILLS
Street 2900 CHANCELLOR DRIVE, SUITE 201
City CRESTVIEW HILLS
State KY
ZIP 41017
Phone 859 982-0381
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director MS. ELIZABETH C. BAKKEN

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