18D0692008 CLIA NUMBER - FLEMINGSBURG MEDICAL CLINIC

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Laboratory Demographics

CLIA Number: 18D0692008

Facility Name: FLEMINGSBURG MEDICAL CLINIC

Facility Address:
732 ELIZAVILLE RD
FLEMINGSBURG, KY
ZIP 41041
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Facility Phone Number: 606 849-2323

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1295236206

Taxonomy: 261QR1300X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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