18D2133581 CLIA NUMBER - ADVANCED PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 18D2133581
  • Facility Name: ADVANCED PRIMARY CARE
  • Facility Address: 1100 OUR LADY'S WAY SUITE 245
    ASHLAND, KY
    ZIP 41101
  • Facility Phone: 304 633-8241
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI MCCOY
  • NPI Number: 1710130406
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 18D2133581
LAB Type Physician Office
Facility Name ADVANCED PRIMARY CARE
Street 1100 OUR LADY'S WAY SUITE 245
City ASHLAND
State KY
ZIP 41101
Phone 304 633-8241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director LORI MCCOY

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