18D0909707 CLIA NUMBER - LIBERTY FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 18D0909707
  • Facility Name: LIBERTY FAMILY MEDICAL CENTER
  • Facility Address: 511 MIDDLEBURG STREET
    LIBERTY, KY
    ZIP 42539
  • Facility Phone: 606 787-5963
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. HOLLY L. MULLINS
  • NPI Number: 1023500618
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0909707
LAB Type Physician Office
Facility Name LIBERTY FAMILY MEDICAL CENTER
Street 511 MIDDLEBURG STREET
City LIBERTY
State KY
ZIP 42539
Phone 606 787-5963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director MS. HOLLY L. MULLINS

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This page was last updated on: 6/4/2025