18D2095631 CLIA NUMBER - TOLLESBORO FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 18D2095631
  • Facility Name: TOLLESBORO FAMILY HEALTH CENTER
  • Facility Address: 17521 W KY 9
    TOLLESBORO, KY
    ZIP 41189
  • Facility Phone: 606 798-3151
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM C. DENHAM
  • NPI Number: 1477564987
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2095631
LAB Type Federally Qualified Health Center
Facility Name TOLLESBORO FAMILY HEALTH CENTER
Street 17521 W KY 9
City TOLLESBORO
State KY
ZIP 41189
Phone 606 798-3151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Federally Qualified Health Center
Lab Director DR. WILLIAM C. DENHAM

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