18D0720422 CLIA NUMBER - JAMES D FREDERICK MD

Laboratory Demographics

  • CLIA Code: 18D0720422
  • Facility Name: JAMES D FREDERICK MD
  • Facility Address: 430 LIBERTY RD
    WEST LIBERTY, KY
    ZIP 41472
  • Facility Phone: 606 743-3114
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES D. FREDERICK
  • NPI Number: 1881798502
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0720422
LAB Type Physician Office
Facility Name JAMES D FREDERICK MD
Street 430 LIBERTY RD
City WEST LIBERTY
State KY
ZIP 41472
Phone 606 743-3114
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 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director JAMES D. FREDERICK

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