18D1056874 CLIA NUMBER - GARY WEINBERGER, MD, PSC

Laboratory Demographics

  • CLIA Code: 18D1056874
  • Facility Name: GARY WEINBERGER, MD, PSC
  • Facility Address: 610 NORTH MAIN STREET
    NICHOLASVILLE, KY
    ZIP 40356
  • Facility Phone: 859 881-0533
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GARY A. WEINBERGER
  • NPI Number: 1669576823
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D1056874
LAB Type Physician Office
Facility Name GARY WEINBERGER, MD, PSC
Street 610 NORTH MAIN STREET
City NICHOLASVILLE
State KY
ZIP 40356
Phone 859 881-0533
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 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director DR. GARY A. WEINBERGER

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