18D1048464 CLIA NUMBER - JOHNSON-MAGOFFIN COUNTY HOME HEALTH

Laboratory Demographics

  • CLIA Code: 18D1048464
  • Facility Name: JOHNSON-MAGOFFIN COUNTY HOME HEALTH
  • Facility Address: 630 JAMES TRIMBLE BOULEVARD
    PAINTSVILLE, KY
    ZIP 41240
  • Facility Phone: 606 789-2596
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JULIE BUSH
  • NPI Number: 1265490601
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 18D1048464
LAB Type Home Health Agency
Facility Name JOHNSON-MAGOFFIN COUNTY HOME HEALTH
Street 630 JAMES TRIMBLE BOULEVARD
City PAINTSVILLE
State KY
ZIP 41240
Phone 606 789-2596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Home Health Agency
Lab Director JULIE BUSH

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