18D2253531 CLIA NUMBER - COMPASSION PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 18D2253531

Facility Name: COMPASSION PEDIATRICS LLC

Facility Address:
2643 KING KELLY COLEMAN HWY
WAYLAND, KY
ZIP 41666
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Facility Phone Number: 606 230-2255

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619642972

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2253531
LAB Type	Physician Office
Facility Name	COMPASSION PEDIATRICS LLC
Street	2643 KING KELLY COLEMAN HWY
City	WAYLAND
State	KY
ZIP	41666
Phone	606 230-2255
CertificateType	4
CertificateEffectiveDate	2/22/2024
CertificateExpirationDate	2/21/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024