18D0955890 CLIA NUMBER - HARRODSBURG FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 18D0955890
  • Facility Name: HARRODSBURG FAMILY MEDICAL
  • Facility Address: 1509 LOUISVILLE ROAD
    HARRODSBURG, KY
    ZIP 40330
  • Facility Phone: 859 734-5770
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MR. TIM LANE
  • NPI Number: 1174678643
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0955890
LAB Type Community Clinic
Facility Name HARRODSBURG FAMILY MEDICAL
Street 1509 LOUISVILLE ROAD
City HARRODSBURG
State KY
ZIP 40330
Phone 859 734-5770
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 Community Clinic
Lab Director MR. TIM LANE

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