18D1103827 CLIA NUMBER - WHITE HOUSE CLINIC - IRVINE

Laboratory Demographics

  • CLIA Code: 18D1103827
  • Facility Name: WHITE HOUSE CLINIC - IRVINE
  • Facility Address: 30 STACY LANE
    IRVINE, KY
    ZIP 40336
  • Facility Phone: 606 723-0665
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA FAIN
  • NPI Number: 1427283647
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1103827
LAB Type Federally Qualified Health Center
Facility Name WHITE HOUSE CLINIC - IRVINE
Street 30 STACY LANE
City IRVINE
State KY
ZIP 40336
Phone 606 723-0665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Federally Qualified Health Center
Lab Director DR. PATRICIA FAIN

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