18D2279012 CLIA NUMBER - MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER

Laboratory Demographics

CLIA Number: 18D2279012

Facility Name: MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER

Facility Address:
108 MANCHESTER SHOPPING CENTER
MANCHESTER, KY
ZIP 40962
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Facility Phone Number: 606 658-6333

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1922275395

Taxonomy: 208600000X - Surgery
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

CLIA Record

Field Name Field Value
CLIA Number 18D2279012
LAB Type Physician Office
Facility Name MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER
Street 108 MANCHESTER SHOPPING CENTER
City MANCHESTER
State KY
ZIP 40962
Phone 606 658-6333
CertificateType 1
CertificateEffectiveDate 3/19/2024
CertificateExpirationDate 3/18/2026
FacilityType Accreditation

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