18D0325567 CLIA NUMBER - FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 18D0325567
  • Facility Name: FAMILY PRACTICE CLINIC
  • Facility Address: 518 WEST GUM STREET
    MARION, KY
    ZIP 42064
  • Facility Phone: 270 965-1058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. BARBARA A. STONE
  • NPI Number: 1467454041
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0325567
LAB Type Physician Office
Facility Name FAMILY PRACTICE CLINIC
Street 518 WEST GUM STREET
City MARION
State KY
ZIP 42064
Phone 270 965-1058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director MS. BARBARA A. STONE

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