18D2242881 CLIA NUMBER - EPHRAIM MCDOWELL STANFORD MEDICAL OFFICES VIN #1FADP3K23JL237360

Laboratory Demographics

  • CLIA Code: 18D2242881
  • Facility Name: EPHRAIM MCDOWELL STANFORD MEDICAL OFFICES VIN #1FADP3K23JL237360
  • Facility Address: 125 PORTMAN AVENUE
    STANFORD, KY
    ZIP 40484
  • Facility Phone: 606 365-3378
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MS. VIRGINIA G. SMOTHERS
  • NPI Number: 1750790069
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2242881
LAB Type Mobile Laboratory
Facility Name EPHRAIM MCDOWELL STANFORD MEDICAL OFFICES VIN #1FADP3K23JL237360
Street 125 PORTMAN AVENUE
City STANFORD
State KY
ZIP 40484
Phone 606 365-3378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Mobile Laboratory
Lab Director MS. VIRGINIA G. SMOTHERS

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