18D1064434 CLIA NUMBER - VERSAILLES FAMILY MEDICINE, PLLC

Laboratory Demographics

CLIA Number: 18D1064434

Facility Name: VERSAILLES FAMILY MEDICINE, PLLC

Facility Address:
460 WILSON AVENUE
VERSAILLES, KY
ZIP 40383
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Facility Phone Number: 859 879-0111

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1548316763

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	18D1064434
LAB Type	Physician Office
Facility Name	VERSAILLES FAMILY MEDICINE, PLLC
Street	460 WILSON AVENUE
City	VERSAILLES
State	KY
ZIP	40383
Phone	859 879-0111
CertificateType	3
CertificateEffectiveDate	2/6/2023
CertificateExpirationDate	2/5/2025
FacilityType	PPMP

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