18D2293184 CLIA NUMBER - UNBRIDLED HEALTHCARE

Laboratory Demographics

  • CLIA Code: 18D2293184
  • Facility Name: UNBRIDLED HEALTHCARE
  • Facility Address: 222 NORTH MAIN STREET
    LONDON, KY
    ZIP 40741
  • Facility Phone: 606 770-3014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FRANCINE R. MOSLEY
  • NPI Number: 1295461663
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 18D2293184
LAB Type Physician Office
Facility Name UNBRIDLED HEALTHCARE
Street 222 NORTH MAIN STREET
City LONDON
State KY
ZIP 40741
Phone 606 770-3014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director DR. FRANCINE R. MOSLEY

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