18D0322348 CLIA NUMBER - GEORGETOWN PEDIATRICS PSC

Laboratory Demographics

  • CLIA Code: 18D0322348
  • Facility Name: GEORGETOWN PEDIATRICS PSC
  • Facility Address: 1162 LEXINGTON ROAD
    GEORGETOWN, KY
    ZIP 40324
  • Facility Phone: 502 863-6426
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HORACE P. HAMBRICK
  • NPI Number: 1598809097
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0322348
LAB Type Physician Office
Facility Name GEORGETOWN PEDIATRICS PSC
Street 1162 LEXINGTON ROAD
City GEORGETOWN
State KY
ZIP 40324
Phone 502 863-6426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director HORACE P. HAMBRICK

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This page was last updated on: 6/4/2025