18D2307454 CLIA NUMBER - JACKSON WOMENS CARE

Laboratory Demographics

  • CLIA Code: 18D2307454
  • Facility Name: JACKSON WOMENS CARE
  • Facility Address: 424 JETT DRIVE
    JACKSON, KY
    ZIP 41339
  • Facility Phone: (606) 666-6240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EVERETT HORN
  • NPI Number: 1114134814
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 18D2307454
LAB Type Physician Office
Facility Name JACKSON WOMENS CARE
Street 424 JETT DRIVE
City JACKSON
State KY
ZIP 41339
Phone 6066666240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director DR. EVERETT HORN

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This page was last updated on: 5/18/2026