18D2325344 CLIA NUMBER - LOVE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 18D2325344
  • Facility Name: LOVE FAMILY PRACTICE
  • Facility Address: 1805 S MAIN STREET, SUITE 5
    CORBIN, KY
    ZIP 40701
  • Facility Phone: 606 215-3228
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. NICHOLE DYE-LOVE
  • NPI Number: 1790579472
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2325344
LAB Type Practitioner Other
Facility Name LOVE FAMILY PRACTICE
Street 1805 S MAIN STREET, SUITE 5
City CORBIN
State KY
ZIP 40701
Phone 606 215-3228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Practitioner Other
Lab Director MS. NICHOLE DYE-LOVE

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