18D0932558 CLIA NUMBER - MOUNTAIN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D0932558
  • Facility Name: MOUNTAIN PEDIATRICS
  • Facility Address: THREE RIVER MEDICAL PLAZA SUITE 2
    LOUISA, KY
    ZIP 41230
  • Facility Phone: 606 638-4888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN A. FERRARA
  • NPI Number: 1740310168
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0932558
LAB Type Physician Office
Facility Name MOUNTAIN PEDIATRICS
Street THREE RIVER MEDICAL PLAZA SUITE 2
City LOUISA
State KY
ZIP 41230
Phone 606 638-4888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director ALAN A. FERRARA

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