18D1002041 CLIA NUMBER - WINCHESTER FAMILY PRACTICE, PSC

Laboratory Demographics

  • CLIA Code: 18D1002041
  • Facility Name: WINCHESTER FAMILY PRACTICE, PSC
  • Facility Address: 4 N HIGHLAND STREET, SUITE A
    WINCHESTER, KY
    ZIP 40391
  • Facility Phone: 859 744-1445
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMINA SHALASH, MD
  • NPI Number: 1528094281
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D1002041
LAB Type Physician Office
Facility Name WINCHESTER FAMILY PRACTICE, PSC
Street 4 N HIGHLAND STREET, SUITE A
City WINCHESTER
State KY
ZIP 40391
Phone 859 744-1445
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director AMINA SHALASH, MD

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