18D0997986 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 18D0997986
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 1710 NORTH MAIN STREET
    HAZARD, KY
    ZIP 41701
  • Facility Phone: (606) 487-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LEONOR PAGTAKHAN-SO
  • NPI Number: 1487600615
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0997986
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 1710 NORTH MAIN STREET
City HAZARD
State KY
ZIP 41701
Phone 6064878300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director DR. LEONOR PAGTAKHAN-SO

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This page was last updated on: 6/29/2026