18D2126722 CLIA NUMBER - PRIORITY PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 18D2126722
  • Facility Name: PRIORITY PRIMARY CARE, LLC
  • Facility Address: 60 SHELTON LANE
    RUSSELLVILLE, KY
    ZIP 42276
  • Facility Phone: 270 632-4514
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CARLTON LEE
  • NPI Number: 1609310358
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2126722
LAB Type Physician Office
Facility Name PRIORITY PRIMARY CARE, LLC
Street 60 SHELTON LANE
City RUSSELLVILLE
State KY
ZIP 42276
Phone 270 632-4514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director DR. CARLTON LEE

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