CLIA lab
CLIA 18D0893752: Ky State Penitentiary Med Clinic
Eddyville, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D0893752 belongs to Ky State Penitentiary Med Clinic in Eddyville, KY.
Certificate of Waiver, effective October 28, 2024, expires October 27, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 28, 2024
- Certificate expiration
- October 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 1994
- Facility type
- Other
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 18D0893752
- Lab name
- Ky State Penitentiary Med Clinic
- Address
- 266 Water Street, Attn Medical Unit, Eddyville, KY 42038
- Phone
- (270) 388-2211
- Fax
- (270) 388-7004
Annual test volume the lab reported
- Waived tests
- 650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Eddyville, KY
- Baptist Health Medical Group Family MedicineCertificate of Waiver, Physician office18D0880486
- Caldwell Medical Associates Eddyville ClinicCertificate of Waiver, Other practitioner18D2261378
- Hope ClinicCertificate of Waiver, Other18D2133575
- Lyon County Emergency Ambulance SVCCertificate of Waiver, Mobile lab18D0869410
- Lyon Drug StoreCertificate of Waiver, Pharmacy18D2183974
- Pennyrile District Health DeptCertificate of Waiver, Other18D1082261
Related
Questions
What is the CLIA number for Ky State Penitentiary Med Clinic in Eddyville?
18D0893752, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ky State Penitentiary Med Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D0893752 expire?
The CMS file lists October 27, 2026 as the certificate expiration date; the certificate took effect October 28, 2024.