18D2117871 CLIA NUMBER - FOUNDATIONS PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 18D2117871
  • Facility Name: FOUNDATIONS PRIMARY CARE, LLC
  • Facility Address: 249 MAIN STREET
    CADIZ, KY
    ZIP 42211
  • Facility Phone: 270 206-7114
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLY A. MCCORMICK NP
  • NPI Number: 1356895932
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2117871
LAB Type Physician Office
Facility Name FOUNDATIONS PRIMARY CARE, LLC
Street 249 MAIN STREET
City CADIZ
State KY
ZIP 42211
Phone 270 206-7114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director HOLLY A. MCCORMICK NP

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