18D0936352 CLIA NUMBER - WHITE HOUSE CLINIC

Laboratory Demographics

  • CLIA Code: 18D0936352
  • Facility Name: WHITE HOUSE CLINIC
  • Facility Address: 116 PROGRESS DRIVE
    MOUNT VERNON, KY
    ZIP 40456
  • Facility Phone: 606 256-2143
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JON A. ARVIN
  • NPI Number: 1437407723
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0936352
LAB Type Physician Office
Facility Name WHITE HOUSE CLINIC
Street 116 PROGRESS DRIVE
City MOUNT VERNON
State KY
ZIP 40456
Phone 606 256-2143
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director DR. JON A. ARVIN

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