18D1029058 CLIA NUMBER - KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC LITTLE FLOWER FREE CLINIC

Laboratory Demographics

  • CLIA Code: 18D1029058
  • Facility Name: KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC LITTLE FLOWER FREE CLINIC
  • Facility Address: 279 EAST MAIN STREET
    HAZARD, KY
    ZIP 41701
  • Facility Phone: 606 487-9505
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. AMBER B. SPICER
  • NPI Number: 1407043979
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1029058
LAB Type Other
Facility Name KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC LITTLE FLOWER FREE CLINIC
Street 279 EAST MAIN STREET
City HAZARD
State KY
ZIP 41701
Phone 606 487-9505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Other
Lab Director DR. AMBER B. SPICER

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