18D0893094 CLIA NUMBER - LONDON PEDIATRIC & ADOLESCENT MEDICINE

Laboratory Demographics

  • CLIA Code: 18D0893094
  • Facility Name: LONDON PEDIATRIC & ADOLESCENT MEDICINE
  • Facility Address: 378 THOMPSON POYNTER ROAD
    LONDON, KY
    ZIP 40741
  • Facility Phone: 606 877-3990
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. KHALID MEMON
  • NPI Number: 1508918533
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0893094
LAB Type Rural Health Clinic
Facility Name LONDON PEDIATRIC & ADOLESCENT MEDICINE
Street 378 THOMPSON POYNTER ROAD
City LONDON
State KY
ZIP 40741
Phone 606 877-3990
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 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Rural Health Clinic
Lab Director DR. KHALID MEMON

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