18D2322633 CLIA NUMBER - GREEN PATH WELLNESS DBA THOMPSON FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 18D2322633
  • Facility Name: GREEN PATH WELLNESS DBA THOMPSON FAMILY MEDICAL
  • Facility Address: 301 W MAIN ST, STE 202
    DANVILLE, KY
    ZIP 40422
  • Facility Phone: 859 374-1889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. TAMRA D. THOMPSON
  • NPI Number: 1467246694
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2322633
LAB Type Physician Office
Facility Name GREEN PATH WELLNESS DBA THOMPSON FAMILY MEDICAL
Street 301 W MAIN ST, STE 202
City DANVILLE
State KY
ZIP 40422
Phone 859 374-1889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director MS. TAMRA D. THOMPSON

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