18D2233308 CLIA NUMBER - ADVANCE CARE PRIMARY

Laboratory Demographics

  • CLIA Code: 18D2233308
  • Facility Name: ADVANCE CARE PRIMARY
  • Facility Address: 25 MEDPARK SQUARE, STE 4
    SOMERSET, KY
    ZIP 42503
  • Facility Phone: 205 412-3863
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JODY C. DUNGAN
  • NPI Number: 1104409564
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2233308
LAB Type Pharmacy
Facility Name ADVANCE CARE PRIMARY
Street 25 MEDPARK SQUARE, STE 4
City SOMERSET
State KY
ZIP 42503
Phone 205 412-3863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director JODY C. DUNGAN

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: 9/29/2025