18D1025543 CLIA NUMBER - SCOTT COUNTY FAMILY PRACTICE, PLLC

Laboratory Demographics

  • CLIA Code: 18D1025543
  • Facility Name: SCOTT COUNTY FAMILY PRACTICE, PLLC
  • Facility Address: 105 WINDSOR PATH, SUITE 2
    GEORGETOWN, KY
    ZIP 40324
  • Facility Phone: 502 863-4485
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PADMA RAO
  • NPI Number: 1275707192
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D1025543
LAB Type Physician Office
Facility Name SCOTT COUNTY FAMILY PRACTICE, PLLC
Street 105 WINDSOR PATH, SUITE 2
City GEORGETOWN
State KY
ZIP 40324
Phone 502 863-4485
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 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director DR. PADMA RAO

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