18D2100502 CLIA NUMBER - FAMILY MEDICINE PADUCAH

Laboratory Demographics

CLIA Number: 18D2100502

Facility Name: FAMILY MEDICINE PADUCAH

Facility Address:
2605 KY AVE STE 502
PADUCAH, KY
ZIP 42003
Get Directions

Facility Phone Number: 270 415-7015

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730213406

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	18D2100502
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE PADUCAH
Street	2605 KY AVE STE 502
City	PADUCAH
State	KY
ZIP	42003
Phone	270 415-7015
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024