18D1085952 CLIA NUMBER - DANIEL BOONE FAMILY HEALTHCARE, PLLC

Laboratory Demographics

  • CLIA Code: 18D1085952
  • Facility Name: DANIEL BOONE FAMILY HEALTHCARE, PLLC
  • Facility Address: 1881 S US-25E
    BARBOURVILLE, KY
    ZIP 40906
  • Facility Phone: 606 545-0400
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RODNEY SMITH
  • NPI Number: 1255504700
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1085952
LAB Type Rural Health Clinic
Facility Name DANIEL BOONE FAMILY HEALTHCARE, PLLC
Street 1881 S US-25E
City BARBOURVILLE
State KY
ZIP 40906
Phone 606 545-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Rural Health Clinic
Lab Director RODNEY SMITH

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