18D1004478 CLIA NUMBER - CARROLL COUNTY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 18D1004478
  • Facility Name: CARROLL COUNTY FAMILY PRACTICE
  • Facility Address: 309 11 TH STREET
    CARROLLTON, KY
    ZIP 41008
  • Facility Phone: 502 732-3272
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. RANJHAN COPANG
  • NPI Number: 1558585091
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1004478
LAB Type Rural Health Clinic
Facility Name CARROLL COUNTY FAMILY PRACTICE
Street 309 11 TH STREET
City CARROLLTON
State KY
ZIP 41008
Phone 502 732-3272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Rural Health Clinic
Lab Director DR. RANJHAN COPANG

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