18D1012014 CLIA NUMBER - BAPTIST FAMILY PHYSICIANS OF SCOTT COUNTY BAPTIST HEALTH MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 18D1012014
  • Facility Name: BAPTIST FAMILY PHYSICIANS OF SCOTT COUNTY BAPTIST HEALTH MEDICAL GROUP
  • Facility Address: 210 BEVINS LANE SUITE C
    GEORGETOWN, KY
    ZIP 40324
  • Facility Phone: 502 868-0622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN D. MURRIN
  • NPI Number: 1518268978
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D1012014
LAB Type Physician Office
Facility Name BAPTIST FAMILY PHYSICIANS OF SCOTT COUNTY BAPTIST HEALTH MEDICAL GROUP
Street 210 BEVINS LANE SUITE C
City GEORGETOWN
State KY
ZIP 40324
Phone 502 868-0622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director IVAN D. MURRIN

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