18D2045319 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER, INC

Laboratory Demographics

  • CLIA Code: 18D2045319
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC
  • Facility Address: 838 SOUTH MAYO TRAIL
    PAINTSVILLE, KY
    ZIP 41240
  • Facility Phone: 606 886-8572
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTEN FREEMAN
  • NPI Number: 1114426863
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2045319
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER, INC
Street 838 SOUTH MAYO TRAIL
City PAINTSVILLE
State KY
ZIP 41240
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 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Federally Qualified Health Center
Lab Director DR. KRISTEN FREEMAN

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