18D0977208 CLIA NUMBER - OLIVE HILL FAMILY CARE CENTER

Laboratory Demographics

  • CLIA Code: 18D0977208
  • Facility Name: OLIVE HILL FAMILY CARE CENTER
  • Facility Address: 391 WEST TOM T HALL BLVD
    OLIVE HILL, KY
    ZIP 41164
  • Facility Phone: 606 286-8039
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MELISSA LEUENBERGER
  • NPI Number: 1174705412
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 18D0977208
LAB Type Community Clinic
Facility Name OLIVE HILL FAMILY CARE CENTER
Street 391 WEST TOM T HALL BLVD
City OLIVE HILL
State KY
ZIP 41164
Phone 606 286-8039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Community Clinic
Lab Director MELISSA LEUENBERGER

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This page was last updated on: 6/4/2025