18D0672538 CLIA NUMBER - PRIMARY PEDIATRICS PSC

Laboratory Demographics

  • CLIA Code: 18D0672538
  • Facility Name: PRIMARY PEDIATRICS PSC
  • Facility Address: 59 CAVALIER BOULEVARD SUITE 330
    FLORENCE, KY
    ZIP 41042
  • Facility Phone: 859 371-3232
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEILA HARMELING MD
  • NPI Number: 1164573564
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0672538
LAB Type Physician Office
Facility Name PRIMARY PEDIATRICS PSC
Street 59 CAVALIER BOULEVARD SUITE 330
City FLORENCE
State KY
ZIP 41042
Phone 859 371-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director SHEILA HARMELING MD

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