18D0326729 CLIA NUMBER - ROBERT G DRAKE JR MD

Laboratory Demographics

  • CLIA Code: 18D0326729
  • Facility Name: ROBERT G DRAKE JR MD
  • Facility Address: 79 IMAGING DRIVE
    SOMERSET, KY
    ZIP 42503
  • Facility Phone: 606 679-1449
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT G. DRAKE JR MD
  • NPI Number: 1528151685
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0326729
LAB Type Physician Office
Facility Name ROBERT G DRAKE JR MD
Street 79 IMAGING DRIVE
City SOMERSET
State KY
ZIP 42503
Phone 606 679-1449
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT G. DRAKE JR MD

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