18D0983576 CLIA NUMBER - EDWARDS CLINIC

Laboratory Demographics

  • CLIA Code: 18D0983576
  • Facility Name: EDWARDS CLINIC
  • Facility Address: 204 TOWN BRANCH ROAD
    MANCHESTER, KY
    ZIP 40962
  • Facility Phone: 606 598-8766
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGEL EDWARDS
  • NPI Number: 1154635407
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0983576
LAB Type Physician Office
Facility Name EDWARDS CLINIC
Street 204 TOWN BRANCH ROAD
City MANCHESTER
State KY
ZIP 40962
Phone 606 598-8766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director ANGEL EDWARDS

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