18D2297361 CLIA NUMBER - MT WASHINGTON PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 18D2297361
  • Facility Name: MT WASHINGTON PEDIATRICS PLLC
  • Facility Address: 138 EAST BROOKE COURT #115
    MOUNT WASHINGTON, KY
    ZIP 40047
  • Facility Phone: (502) 617-4068
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. ALICIA F. ANDERSON
  • NPI Number: 1013784982
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2297361
LAB Type Practitioner Other
Facility Name MT WASHINGTON PEDIATRICS PLLC
Street 138 EAST BROOKE COURT #115
City MOUNT WASHINGTON
State KY
ZIP 40047
Phone 5026174068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2026
Certificate Expiration Date 1/15/2028
Facility Type Practitioner Other
Lab Director MS. ALICIA F. ANDERSON

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This page was last updated on: 5/18/2026