18D2016664 CLIA NUMBER - ELKTON CLINIC

Laboratory Demographics

  • CLIA Code: 18D2016664
  • Facility Name: ELKTON CLINIC
  • Facility Address: 713 WEST MAIN STREET
    ELKTON, KY
    ZIP 42220
  • Facility Phone: (270) 265-5353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MANOJ H. MAJMUDAR
  • NPI Number: 1457667461
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2016664
LAB Type Physician Office
Facility Name ELKTON CLINIC
Street 713 WEST MAIN STREET
City ELKTON
State KY
ZIP 42220
Phone 2702655353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Physician Office
Lab Director DR. MANOJ H. MAJMUDAR

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