CLIA lab
CLIA 18D2074821: Specialty Physician Assistant, LLC DBA
Elkhorn City, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2074821 belongs to Specialty Physician Assistant, LLC DBA in Elkhorn City, KY.
Certificate of Waiver, effective March 17, 2026, expires March 16, 2028.
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
- March 17, 2026
- Certificate expiration
- March 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 2014
- Facility type
- Physician office
- 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
- 18D2074821
- Lab name
- Specialty Physician Assistant, LLC DBA
- Additional name
- Russell Fork Walk-In Clinic
- Address
- 17401 Ky Highway 80 East, Elkhorn City, KY 41522
- Phone
- (606) 754-7085
- Fax
- (606) 754-3049
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Elkhorn City, KY
- DR K D GibsonCertificate of Waiver, Physician office18D1085809
- Elkhorn DrugCertificate of Waiver, Pharmacy18D2162525
- Landmark of Elkhorn City RehabilitationCertificate of Waiver, Skilled nursing or nursing facility18D0648594
- Mchc Elkhorn City Medical ClinicCertificate of Compliance, Federally qualified health center18D2227302
- Westcare Center for Healthy FamiliesCertificate of Waiver, Other18D2195745
Related
Questions
What is the CLIA number for Specialty Physician Assistant, LLC DBA in Elkhorn City?
18D2074821, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Specialty Physician Assistant, LLC DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2074821 expire?
The CMS file lists March 16, 2028 as the certificate expiration date; the certificate took effect March 17, 2026.