18D2224986 CLIA NUMBER - FUSE MEDICAL

Laboratory Demographics

  • CLIA Code: 18D2224986
  • Facility Name: FUSE MEDICAL
  • Facility Address: 202 W 7TH ST SUITE 1
    LONDON, KY
    ZIP 40741
  • Facility Phone: 606 770-5161
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. TAMMY WHITEHEAD
  • NPI Number: 1164003125
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2224986
LAB Type Practitioner Other
Facility Name FUSE MEDICAL
Street 202 W 7TH ST SUITE 1
City LONDON
State KY
ZIP 40741
Phone 606 770-5161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Practitioner Other
Lab Director MS. TAMMY WHITEHEAD

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