18D1004267 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER INC HOMEPLACE CLINIC

Laboratory Demographics

  • CLIA Code: 18D1004267
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER INC HOMEPLACE CLINIC
  • Facility Address: 270 FIRST STREET
    CHAVIES, KY
    ZIP 41727
  • Facility Phone: 606 886-8572
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTIN FREEMAN
  • NPI Number: 1992795769
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D1004267
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER INC HOMEPLACE CLINIC
Street 270 FIRST STREET
City CHAVIES
State KY
ZIP 41727
Phone 606 886-8572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Federally Qualified Health Center
Lab Director DR. KRISTIN FREEMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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