18D2053148 CLIA NUMBER - CONCENTRA PRIMARY CARE - NICHOLASVILLE

Laboratory Demographics

  • CLIA Code: 18D2053148
  • Facility Name: CONCENTRA PRIMARY CARE - NICHOLASVILLE
  • Facility Address: 204 BELLAIRE DRIVE
    NICHOLASVILLE, KY
    ZIP 40356
  • Facility Phone: 859 887-4882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. UZMA ASLAM
  • NPI Number: 1922354935
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2053148
LAB Type Physician Office
Facility Name CONCENTRA PRIMARY CARE - NICHOLASVILLE
Street 204 BELLAIRE DRIVE
City NICHOLASVILLE
State KY
ZIP 40356
Phone 859 887-4882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director DR. UZMA ASLAM

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