18D0982356 CLIA NUMBER - PEDIATRIC ASSOCIATES OF PIKEVILLE

Laboratory Demographics

  • CLIA Code: 18D0982356
  • Facility Name: PEDIATRIC ASSOCIATES OF PIKEVILLE
  • Facility Address: 156 ISLAND CREEK ROAD
    PIKEVILLE, KY
    ZIP 41501
  • Facility Phone: 606 432-3221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEONOR PAGTAKHAN-SO
  • NPI Number: 1013954510
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0982356
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF PIKEVILLE
Street 156 ISLAND CREEK ROAD
City PIKEVILLE
State KY
ZIP 41501
Phone 606 432-3221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director LEONOR PAGTAKHAN-SO

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