18D2316978 CLIA NUMBER - EP MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 18D2316978
  • Facility Name: EP MEDICAL LLC
  • Facility Address: 500 N BYPASS, STE C
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Facility Phone: 270 789-0577
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JOHN R. EASTRIDGE
  • NPI Number: 1235863218
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2316978
LAB Type Pharmacy
Facility Name EP MEDICAL LLC
Street 500 N BYPASS, STE C
City CAMPBELLSVILLE
State KY
ZIP 42718
Phone 270 789-0577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Pharmacy
Lab Director MR. JOHN R. EASTRIDGE

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