18D0988869 CLIA NUMBER - WHITE HOUSE CLINIC RICHMOND

Laboratory Demographics

  • CLIA Code: 18D0988869
  • Facility Name: WHITE HOUSE CLINIC RICHMOND
  • Facility Address: 401 HIGHLAND PARK DRIVE
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: 859 626-7700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALISON MONCAYO
  • NPI Number: 1770569113
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0988869
LAB Type Physician Office
Facility Name WHITE HOUSE CLINIC RICHMOND
Street 401 HIGHLAND PARK DRIVE
City RICHMOND
State KY
ZIP 40475
Phone 859 626-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director DR. ALISON MONCAYO

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