18D0322849 CLIA NUMBER - MADISON PEDIATRIC ASSOCIATES, PSC

Laboratory Demographics

  • CLIA Code: 18D0322849
  • Facility Name: MADISON PEDIATRIC ASSOCIATES, PSC
  • Facility Address: 793 EASTERN BYPASS SUITE 110
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: 606 624-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNA RICHARDS
  • NPI Number: 1508923715
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0322849
LAB Type Physician Office
Facility Name MADISON PEDIATRIC ASSOCIATES, PSC
Street 793 EASTERN BYPASS SUITE 110
City RICHMOND
State KY
ZIP 40475
Phone 606 624-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director DR. JENNA RICHARDS

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