18D2216702 CLIA NUMBER - JAYNES FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 18D2216702
  • Facility Name: JAYNES FAMILY PRACTICE
  • Facility Address: 1200 MASTER STREET
    CORBIN, KY
    ZIP 40701
  • Facility Phone: (606) 280-4000
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. LESLIE G. PHELPS
  • NPI Number: 1184228553
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2216702
LAB Type Practitioner Other
Facility Name JAYNES FAMILY PRACTICE
Street 1200 MASTER STREET
City CORBIN
State KY
ZIP 40701
Phone 6062804000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Practitioner Other
Lab Director MS. LESLIE G. PHELPS

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This page was last updated on: 5/18/2026