18D2100797 CLIA NUMBER - CAROL B PEDDICORD, MD PLLC

Laboratory Demographics

  • CLIA Code: 18D2100797
  • Facility Name: CAROL B PEDDICORD, MD PLLC
  • Facility Address: 250 BURKESVILLE R0AD
    ALBANY, KY
    ZIP 42602
  • Facility Phone: 606 387-0323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROL B. PEDDICORD MD
  • NPI Number: 1912990607
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2100797
LAB Type Physician Office
Facility Name CAROL B PEDDICORD, MD PLLC
Street 250 BURKESVILLE R0AD
City ALBANY
State KY
ZIP 42602
Phone 606 387-0323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director CAROL B. PEDDICORD MD

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