18D0936123 CLIA NUMBER - NORTH GARRARD FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 18D0936123
  • Facility Name: NORTH GARRARD FAMILY MEDICAL CENTER
  • Facility Address: 510 NORTH CAMP DICK ROAD
    LANCASTER, KY
    ZIP 40444
  • Facility Phone: 859 548-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. TAMERA J. SOUTHERLAND
  • NPI Number: 1851883441
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0936123
LAB Type Physician Office
Facility Name NORTH GARRARD FAMILY MEDICAL CENTER
Street 510 NORTH CAMP DICK ROAD
City LANCASTER
State KY
ZIP 40444
Phone 859 548-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director MS. TAMERA J. SOUTHERLAND

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