CLIA lab
CLIA 18D2291792: South Fork Clinic, PLLC
Whitley City, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2291792 belongs to South Fork Clinic, PLLC in Whitley City, KY.
Certificate of Waiver, effective October 16, 2025, expires October 15, 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
- October 16, 2025
- Certificate expiration
- October 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 2023
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- 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
- 18D2291792
- Lab name
- South Fork Clinic, PLLC
- Address
- 57 Medical Lane, Whitley City, KY 42653
- Phone
- (606) 276-7211
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Whitley City, KY
- Adh, Just Family Inc MccrearyCertificate of Waiver, Other18D1046944
- Family Health Care Associates 7, LLCCertificate of Waiver, Rural health clinic18D2186708
- First Choice Immediate Care MccrearyCertificate of Compliance, Federally qualified health center18D0692147
- Ho Medical & Chiropracic CorporationCertificate for Provider-Performed Microscopy Procedures, Rural health clinic18D1021112
- Horizon Adult Health CareCertificate of Waiver, Other18D1034562
- Kroger Pharmacy #916Certificate of Waiver, Pharmacy18D2095620
- Mccreary County Ambulance ServiceCertificate of Waiver, Ambulance18D2346712
- Ross Family Medical, PLLCCertificate of Waiver, Physician office18D2280577
Related
Questions
What is the CLIA number for South Fork Clinic, PLLC in Whitley City?
18D2291792, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Fork Clinic, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2291792 expire?
The CMS file lists October 15, 2027 as the certificate expiration date; the certificate took effect October 16, 2025.