18D0932684 CLIA NUMBER - EPHRAIM MCDOWELL SPRINGFIELD FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 18D0932684
  • Facility Name: EPHRAIM MCDOWELL SPRINGFIELD FAMILY MEDICINE
  • Facility Address: 280 LINCOLN DRIVE
    SPRINGFIELD, KY
    ZIP 40069
  • Facility Phone: 859 336-9801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. MARIANNE MANN
  • NPI Number: 1881749927
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0932684
LAB Type Physician Office
Facility Name EPHRAIM MCDOWELL SPRINGFIELD FAMILY MEDICINE
Street 280 LINCOLN DRIVE
City SPRINGFIELD
State KY
ZIP 40069
Phone 859 336-9801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MS. MARIANNE MANN

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