18D2050896 CLIA NUMBER - COMPLETE FAMILY CARE PRACTITIONERS

Laboratory Demographics

  • CLIA Code: 18D2050896
  • Facility Name: COMPLETE FAMILY CARE PRACTITIONERS
  • Facility Address: 1065 OLD EKRON ROAD
    BRANDENBURG, KY
    ZIP 40108
  • Facility Phone: 502 403-0007
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LAURA K. WHITE
  • NPI Number: 1043557473
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2050896
LAB Type Community Clinic
Facility Name COMPLETE FAMILY CARE PRACTITIONERS
Street 1065 OLD EKRON ROAD
City BRANDENBURG
State KY
ZIP 40108
Phone 502 403-0007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Community Clinic
Lab Director LAURA K. WHITE

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