18D0696698 CLIA NUMBER - ARH MEDICAL AND SPECIALTY ASSOCIATES - PRESTONSBURG

Laboratory Demographics

CLIA Number: 18D0696698

Facility Name: ARH MEDICAL AND SPECIALTY ASSOCIATES - PRESTONSBURG

Facility Address:
4851 KY HIGHWAY 321
PRESTONSBURG, KY
ZIP 41653
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Facility Phone Number: 606 886-3831

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144814757

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D0696698
LAB Type	Physician Office
Facility Name	ARH MEDICAL AND SPECIALTY ASSOCIATES - PRESTONSBURG
Street	4851 KY HIGHWAY 321
City	PRESTONSBURG
State	KY
ZIP	41653
Phone	606 886-3831
CertificateType	4
CertificateEffectiveDate	8/13/2023
CertificateExpirationDate	8/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024