CLIA lab
CLIA 18D0648611: Leatherwood / Blackey Medical Clinic
Cornettsville, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D0648611 belongs to Leatherwood / Blackey Medical Clinic in Cornettsville, KY.
Certificate of Compliance, effective February 23, 2025, expires February 22, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- February 23, 2025
- Certificate expiration
- February 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 18D0648611
- Lab name
- Leatherwood / Blackey Medical Clinic
- Address
- 464 Kentucky Hwy 699, Cornettsville, KY 41731
- Phone
- (606) 476-2593
- Fax
- (606) 633-4107
Annual test volume the lab reported
- Waived tests
- 12,700
- Provider-performed microscopy tests
- 3
- Other nonwaived tests
- 50,600
- Total
- 63,303
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Leatherwood / Blackey Medical Clinic in Cornettsville?
18D0648611, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Leatherwood / Blackey Medical Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 18D0648611 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.