18D1099915 CLIA NUMBER - MEADE COUNTY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D1099915
  • Facility Name: MEADE COUNTY PEDIATRICS
  • Facility Address: 1010 LAWRENCE STREET
    BRANDENBURG, KY
    ZIP 40108
  • Facility Phone: (270) 422-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT L. KUPPER
  • NPI Number: 1083854731
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D1099915
LAB Type Physician Office
Facility Name MEADE COUNTY PEDIATRICS
Street 1010 LAWRENCE STREET
City BRANDENBURG
State KY
ZIP 40108
Phone 2704223400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2025
Certificate Expiration Date 12/3/2027
Facility Type Physician Office
Lab Director DR. ROBERT L. KUPPER

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This page was last updated on: 5/18/2026