18D2172984 CLIA NUMBER - MCCOY PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 18D2172984
  • Facility Name: MCCOY PRIMARY CARE LLC
  • Facility Address: 141 PARKWAY DR
    BARDSTOWN, KY
    ZIP 40004
  • Facility Phone: 502 348-4757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. BETH A. MCCOY
  • NPI Number: 1659938983
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2172984
LAB Type Physician Office
Facility Name MCCOY PRIMARY CARE LLC
Street 141 PARKWAY DR
City BARDSTOWN
State KY
ZIP 40004
Phone 502 348-4757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director MS. BETH A. MCCOY

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