18D0662357 CLIA NUMBER - ST CLAIRE FAMILY MEDICINE MOREHEAD

Laboratory Demographics

CLIA Number: 18D0662357

Facility Name: ST CLAIRE FAMILY MEDICINE MOREHEAD

Facility Address:
316 W SECOND STREET
MOREHEAD, KY
ZIP 40351
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Facility Phone Number: 606 784-3771

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1689012775

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	18D0662357
LAB Type	Other
Facility Name	ST CLAIRE FAMILY MEDICINE MOREHEAD
Street	316 W SECOND STREET
City	MOREHEAD
State	KY
ZIP	40351
Phone	606 784-3771
CertificateType	3
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024