18D2047347 CLIA NUMBER - HARLAN COUNTY DETENTION CENTER

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Laboratory Demographics

CLIA Number: 18D2047347

Facility Name: HARLAN COUNTY DETENTION CENTER

Facility Address:
6000 HIGHWAY 38
EVARTS, KY
ZIP 40828
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Facility Phone Number: 423 553-5635

Facility Type: Other - JAIL MEDICAL UNIT

Certificate Type: Waiver

NPI Number: 1104262104

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	18D2047347
LAB Type	Other - JAIL MEDICAL UNIT
Facility Name	HARLAN COUNTY DETENTION CENTER
Street	6000 HIGHWAY 38
City	EVARTS
State	KY
ZIP	40828
Phone	423 553-5635
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024