18D0979200 CLIA NUMBER - WAYNESBURG CLINIC

Laboratory Demographics

  • CLIA Code: 18D0979200
  • Facility Name: WAYNESBURG CLINIC
  • Facility Address: 14098 US HIGHWAY 27 SOUTH
    WAYNESBURG, KY
    ZIP 40489
  • Facility Phone: 606 379-6646
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER D. SIMS
  • NPI Number: 1669670816
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0979200
LAB Type Community Clinic
Facility Name WAYNESBURG CLINIC
Street 14098 US HIGHWAY 27 SOUTH
City WAYNESBURG
State KY
ZIP 40489
Phone 606 379-6646
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 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Community Clinic
Lab Director CHRISTOPHER D. SIMS

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