18D2311033 CLIA NUMBER - BOURBON COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 18D2311033
  • Facility Name: BOURBON COUNTY DETENTION CENTER
  • Facility Address: 101 LEGION DRIVE
    PARIS, KY
    ZIP 40361
  • Facility Phone: 859 987-2138
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: DR. RIVER S. WILSON
  • NPI Number: 1467584193
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 18D2311033
LAB Type Other - COUNTY JAIL
Facility Name BOURBON COUNTY DETENTION CENTER
Street 101 LEGION DRIVE
City PARIS
State KY
ZIP 40361
Phone 859 987-2138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Other - COUNTY JAIL
Lab Director DR. RIVER S. WILSON

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