18D1045424 CLIA NUMBER - JUNIPER HEALTH INC DBA LEE COUNTY FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 18D1045424
  • Facility Name: JUNIPER HEALTH INC DBA LEE COUNTY FAMILY MEDICAL CLINIC
  • Facility Address: 1025 GRAND AVENUE
    BEATTYVILLE, KY
    ZIP 41311
  • Facility Phone: 606 464-2401
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MR. DERRICK J. HAMILTON
  • NPI Number: 1407818628
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1045424
LAB Type Federally Qualified Health Center
Facility Name JUNIPER HEALTH INC DBA LEE COUNTY FAMILY MEDICAL CLINIC
Street 1025 GRAND AVENUE
City BEATTYVILLE
State KY
ZIP 41311
Phone 606 464-2401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Federally Qualified Health Center
Lab Director MR. DERRICK J. HAMILTON

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