18D0975290 CLIA NUMBER - JUNIPER HEALTH INC DBA JHI BREATHITT COUNTY FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 18D0975290
  • Facility Name: JUNIPER HEALTH INC DBA JHI BREATHITT COUNTY FAMILY HEALTH CENTER
  • Facility Address: 1484 LAKESIDE DRIVE
    JACKSON, KY
    ZIP 41339
  • Facility Phone: 606 666-9950
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. DERRICK J. HAMILTON
  • NPI Number: 1467417691
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0975290
LAB Type Federally Qualified Health Center
Facility Name JUNIPER HEALTH INC DBA JHI BREATHITT COUNTY FAMILY HEALTH CENTER
Street 1484 LAKESIDE DRIVE
City JACKSON
State KY
ZIP 41339
Phone 606 666-9950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Federally Qualified Health Center
Lab Director DR. DERRICK J. HAMILTON

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This page was last updated on: 9/29/2025