18D0931587 CLIA NUMBER - ARH PRIMARY CARE ASSOCIATES

Laboratory Demographics

CLIA Number: 18D0931587

Facility Name: ARH PRIMARY CARE ASSOCIATES

Facility Address:
11087 MAIN STREET
MARTIN, KY
ZIP 41649
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Facility Phone Number: 606 285-0681

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1629561733

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D0931587
LAB Type	Other
Facility Name	ARH PRIMARY CARE ASSOCIATES
Street	11087 MAIN STREET
City	MARTIN
State	KY
ZIP	41649
Phone	606 285-0681
CertificateType	4
CertificateEffectiveDate	1/20/2023
CertificateExpirationDate	1/19/2025
FacilityType	Waiver

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