18D0322371 CLIA NUMBER - EPHRAIM MCDOWELL MERCER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D0322371
  • Facility Name: EPHRAIM MCDOWELL MERCER PEDIATRICS
  • Facility Address: 466 LINDEN AVENUE
    HARRODSBURG, KY
    ZIP 40330
  • Facility Phone: 859 734-5123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. TIM LANE
  • NPI Number: 1669415493
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0322371
LAB Type Physician Office
Facility Name EPHRAIM MCDOWELL MERCER PEDIATRICS
Street 466 LINDEN AVENUE
City HARRODSBURG
State KY
ZIP 40330
Phone 859 734-5123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MR. TIM LANE

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