18D0950702 CLIA NUMBER - SHARPSBURG MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 18D0950702
  • Facility Name: SHARPSBURG MEDICAL CLINIC
  • Facility Address: 601 MAIN STREET
    SHARPSBURG, KY
    ZIP 40374
  • Facility Phone: 606 247-5006
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LINDY K. NETTLETON
  • NPI Number: 1184125924
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0950702
LAB Type Physician Office
Facility Name SHARPSBURG MEDICAL CLINIC
Street 601 MAIN STREET
City SHARPSBURG
State KY
ZIP 40374
Phone 606 247-5006
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 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director DR. LINDY K. NETTLETON

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This page was last updated on: 3/20/2025