18D0664933 CLIA NUMBER - MICHAEL W SIMON MD PSC

Laboratory Demographics

  • CLIA Code: 18D0664933
  • Facility Name: MICHAEL W SIMON MD PSC
  • Facility Address: 4040 FINN WAY, SUITE 310
    LEXINGTON, KY
    ZIP 40517
  • Facility Phone: 859 277-6516
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL W. SIMON
  • NPI Number: 1992862205
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0664933
LAB Type Physician Office
Facility Name MICHAEL W SIMON MD PSC
Street 4040 FINN WAY, SUITE 310
City LEXINGTON
State KY
ZIP 40517
Phone 859 277-6516
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 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director DR. MICHAEL W. SIMON

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