18D1084352 CLIA NUMBER - FREEMAN FAMILY PRACTICE, LLC

Laboratory Demographics

  • CLIA Code: 18D1084352
  • Facility Name: FREEMAN FAMILY PRACTICE, LLC
  • Facility Address: 10755 N US HWY 25E
    GRAY, KY
    ZIP 40734
  • Facility Phone: 606 258-8050
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TAMMY L. FREEMAN
  • NPI Number: 1750557302
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1084352
LAB Type Rural Health Clinic
Facility Name FREEMAN FAMILY PRACTICE, LLC
Street 10755 N US HWY 25E
City GRAY
State KY
ZIP 40734
Phone 606 258-8050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Rural Health Clinic
Lab Director TAMMY L. FREEMAN

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