18D2103208 CLIA NUMBER - PENDLETON FAMILY CARE, LLC

Laboratory Demographics

  • CLIA Code: 18D2103208
  • Facility Name: PENDLETON FAMILY CARE, LLC
  • Facility Address: 1412 NORTH RACE ST
    GLASGOW, KY
    ZIP 42141
  • Facility Phone: 270 629-6334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. MICHAEL PENDLETON
  • NPI Number: 1417324252
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2103208
LAB Type Physician Office
Facility Name PENDLETON FAMILY CARE, LLC
Street 1412 NORTH RACE ST
City GLASGOW
State KY
ZIP 42141
Phone 270 629-6334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Physician Office
Lab Director MR. MICHAEL PENDLETON

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