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18D1026648 CLIA NUMBER - COMMONWEALTH ORTHOPAEDIC CENTERS PSC

Laboratory Demographics

CLIA Number: 18D1026648

Facility Name: COMMONWEALTH ORTHOPAEDIC CENTERS PSC

Facility Address:
560 SOUTH LOOP ROAD
EDGEWOOD, KY
ZIP 41017
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Facility Phone Number: 859 301-2663

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1942679915

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 18D1026648
LAB Type Physician Office
Facility Name COMMONWEALTH ORTHOPAEDIC CENTERS PSC
Street 560 SOUTH LOOP ROAD
City EDGEWOOD
State KY
ZIP 41017
Phone 859 301-2663
CertificateType 4
CertificateEffectiveDate 6/10/2022
CertificateExpirationDate 6/9/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024