18D1090495 CLIA NUMBER - CASEY COUNTY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 18D1090495
  • Facility Name: CASEY COUNTY FAMILY PRACTICE
  • Facility Address: 199 ADAMS ST
    LIBERTY, KY
    ZIP 42539
  • Facility Phone: 606 787-5044
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JARED K. WILSON
  • NPI Number: 1679720114
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1090495
LAB Type Rural Health Clinic
Facility Name CASEY COUNTY FAMILY PRACTICE
Street 199 ADAMS ST
City LIBERTY
State KY
ZIP 42539
Phone 606 787-5044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Rural Health Clinic
Lab Director JARED K. WILSON

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