18D0929831 CLIA NUMBER - TOMPKINSVILLE PRIMARY CARE ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 18D0929831
  • Facility Name: TOMPKINSVILLE PRIMARY CARE ASSOCIATES LLC
  • Facility Address: 901 NORTH MAIN STREET
    TOMPKINSVILLE, KY
    ZIP 42167
  • Facility Phone: 270 487-0551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JERRY N. BEAN MD
  • NPI Number: 1548379779
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0929831
LAB Type Physician Office
Facility Name TOMPKINSVILLE PRIMARY CARE ASSOCIATES LLC
Street 901 NORTH MAIN STREET
City TOMPKINSVILLE
State KY
ZIP 42167
Phone 270 487-0551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director JERRY N. BEAN MD

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