18D0688751 CLIA NUMBER - FLAGET PRIMARY CARE

Laboratory Demographics

CLIA Number: 18D0688751

Facility Name: FLAGET PRIMARY CARE

Facility Address:
110 SOUTH SALEM DRIVE
BARDSTOWN, KY
ZIP 40004
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Facility Phone Number: 502 350-5081

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063705051

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	18D0688751
LAB Type	Physician Office
Facility Name	FLAGET PRIMARY CARE
Street	110 SOUTH SALEM DRIVE
City	BARDSTOWN
State	KY
ZIP	40004
Phone	502 350-5081
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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