18D2133607 CLIA NUMBER - CLARK REGIONAL FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 18D2133607
  • Facility Name: CLARK REGIONAL FAMILY PRACTICE
  • Facility Address: 225 HOSPITAL DRIVE, STE 115
    WINCHESTER, KY
    ZIP 40391
  • Facility Phone: 859 737-8509
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES J. ARNOLD
  • NPI Number: 1811913668
  • Taxonomy: 261QP2000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2133607
LAB Type Physician Office
Facility Name CLARK REGIONAL FAMILY PRACTICE
Street 225 HOSPITAL DRIVE, STE 115
City WINCHESTER
State KY
ZIP 40391
Phone 859 737-8509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2023
Certificate Expiration Date 7/16/2025
Facility Type Physician Office
Lab Director DR. CHARLES J. ARNOLD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025