18D2072005 CLIA NUMBER - JHI WOLFE COUNTY FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 18D2072005
  • Facility Name: JHI WOLFE COUNTY FAMILY MEDICAL CLINIC
  • Facility Address: 202 PLUMMER
    CAMPTON, KY
    ZIP 41301
  • Facility Phone: 606 668-7385
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DERRICK J. HAMILTON
  • NPI Number: 1962823393
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2072005
LAB Type Federally Qualified Health Center
Facility Name JHI WOLFE COUNTY FAMILY MEDICAL CLINIC
Street 202 PLUMMER
City CAMPTON
State KY
ZIP 41301
Phone 606 668-7385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Federally Qualified Health Center
Lab Director DERRICK J. HAMILTON

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