18D0977212 CLIA NUMBER - FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 18D0977212
  • Facility Name: FAMILY MEDICAL CENTER
  • Facility Address: 301 BURKESVILLE ST
    COLUMBIA, KY
    ZIP 42728
  • Facility Phone: 270 384-9934
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. ROBERT SHIPP
  • NPI Number: 1730243858
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0977212
LAB Type Physician Office
Facility Name FAMILY MEDICAL CENTER
Street 301 BURKESVILLE ST
City COLUMBIA
State KY
ZIP 42728
Phone 270 384-9934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director MR. ROBERT SHIPP

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