18D0326854 CLIA NUMBER - MONTICELLO MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 18D0326854
  • Facility Name: MONTICELLO MEDICAL ASSOCIATES
  • Facility Address: 1 S CREEK DR STE 102
    MONTICELLO, KY
    ZIP 42633
  • Facility Phone: 606 340-3409
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MATTHEW T. EATON
  • NPI Number: 1104963305
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0326854
LAB Type Federally Qualified Health Center
Facility Name MONTICELLO MEDICAL ASSOCIATES
Street 1 S CREEK DR STE 102
City MONTICELLO
State KY
ZIP 42633
Phone 606 340-3409
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Federally Qualified Health Center
Lab Director DR. MATTHEW T. EATON

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