CLIA lab

CLIA 18D2058342: Mountain Family Practice Clinic of Manchester, Inc

Manchester, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 18D2058342 belongs to Mountain Family Practice Clinic of Manchester, Inc in Manchester, KY.

Certificate of Waiver, effective May 6, 2025, expires May 5, 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 Waiver
Certificate effective
May 6, 2025
Certificate expiration
May 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 2013
Facility type
Community clinic
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
18D2058342
Lab name
Mountain Family Practice Clinic of Manchester, Inc
Address
108 Manchester Shopping Center, Manchester, KY 40962
Phone
(606) 596-0701
Fax
(606) 596-0701

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Mountain Family Practice Clinic of Manchester, Inc in Manchester?

18D2058342, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mountain Family Practice Clinic of Manchester, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 18D2058342 expire?

The CMS file lists May 5, 2027 as the certificate expiration date; the certificate took effect May 6, 2025.

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