18D0692008 CLIA NUMBER - FLEMINGSBURG MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 18D0692008
  • Facility Name: FLEMINGSBURG MEDICAL CLINIC
  • Facility Address: 732 ELIZAVILLE RD
    FLEMINGSBURG, KY
    ZIP 41041
  • Facility Phone: 606 849-2323
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PHILIP GOLDMAN
  • NPI Number: 1295236206
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0692008
LAB Type Physician Office
Facility Name FLEMINGSBURG MEDICAL CLINIC
Street 732 ELIZAVILLE RD
City FLEMINGSBURG
State KY
ZIP 41041
Phone 606 849-2323
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. PHILIP GOLDMAN

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