18D2090593 CLIA NUMBER - MOREHEAD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D2090593
  • Facility Name: MOREHEAD PEDIATRICS
  • Facility Address: 130 NEW TOWNE SQUARE
    MOREHEAD, KY
    ZIP 40351
  • Facility Phone: 606 740-0986
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRANDY FOUCH
  • NPI Number: 1629263322
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 18D2090593
LAB Type Rural Health Clinic
Facility Name MOREHEAD PEDIATRICS
Street 130 NEW TOWNE SQUARE
City MOREHEAD
State KY
ZIP 40351
Phone 606 740-0986
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Rural Health Clinic
Lab Director DR. BRANDY FOUCH

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