18D2170198 CLIA NUMBER - PRESTONSBURG URGENT CARE AND PRIMARY CARE CLNIC

Laboratory Demographics

  • CLIA Code: 18D2170198
  • Facility Name: PRESTONSBURG URGENT CARE AND PRIMARY CARE CLNIC
  • Facility Address: 723 SOUTH LAKE DRIVE
    PRESTONSBURG, KY
    ZIP 41653
  • Facility Phone: 606 213-3735
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MS. TAMMY CLARK
  • NPI Number: 1942554068
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2170198
LAB Type Community Clinic
Facility Name PRESTONSBURG URGENT CARE AND PRIMARY CARE CLNIC
Street 723 SOUTH LAKE DRIVE
City PRESTONSBURG
State KY
ZIP 41653
Phone 606 213-3735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Community Clinic
Lab Director MS. TAMMY CLARK

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