18D1028469 CLIA NUMBER - MADISON FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 18D1028469
  • Facility Name: MADISON FAMILY CLINIC
  • Facility Address: 2161 LEXINGTON ROAD 1ST FL STE 5
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: 859 626-7794
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: RIZWAN AKHTAR
  • NPI Number: 1891799177
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1028469
LAB Type Rural Health Clinic
Facility Name MADISON FAMILY CLINIC
Street 2161 LEXINGTON ROAD 1ST FL STE 5
City RICHMOND
State KY
ZIP 40475
Phone 859 626-7794
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 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Rural Health Clinic
Lab Director RIZWAN AKHTAR

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