18D1012557 CLIA NUMBER - MARIA CRISTINA ATIENZA MD PSC

Laboratory Demographics

  • CLIA Code: 18D1012557
  • Facility Name: MARIA CRISTINA ATIENZA MD PSC
  • Facility Address: 110 ROY KIDD AVE
    CORBIN, KY
    ZIP 40701
  • Facility Phone: 606 528-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA C. ATIENZA
  • NPI Number: 1275543134
  • Taxonomy: 207RG0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D1012557
LAB Type Physician Office
Facility Name MARIA CRISTINA ATIENZA MD PSC
Street 110 ROY KIDD AVE
City CORBIN
State KY
ZIP 40701
Phone 606 528-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2023
Certificate Expiration Date 5/12/2025
Facility Type Physician Office
Lab Director MARIA C. ATIENZA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025