18D1000645 CLIA NUMBER - FLORENCE MEDICAL GROUP, PSC

Laboratory Demographics

  • CLIA Code: 18D1000645
  • Facility Name: FLORENCE MEDICAL GROUP, PSC
  • Facility Address: 8731 BANKERS ST UNIT A
    FLORENCE, KY
    ZIP 41042
  • Facility Phone: 859 282-8840
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. JEANNE M. GRIPSHOVER
  • NPI Number: 1821033499
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D1000645
LAB Type Physician Office
Facility Name FLORENCE MEDICAL GROUP, PSC
Street 8731 BANKERS ST UNIT A
City FLORENCE
State KY
ZIP 41042
Phone 859 282-8840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director MS. JEANNE M. GRIPSHOVER

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