18D2099200 CLIA NUMBER - COMMONWEALTH COUNSELING CENTERS

Laboratory Demographics

  • CLIA Code: 18D2099200
  • Facility Name: COMMONWEALTH COUNSELING CENTERS
  • Facility Address: 156 NORTH LAKE DRIVE
    PRESTONSBURG, KY
    ZIP 41653
  • Facility Phone: 606 506-5077
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: BENJAMIN D. FERGUSON
  • NPI Number: 1700264918
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2099200
LAB Type Comp. Outpatient Rehab Facility
Facility Name COMMONWEALTH COUNSELING CENTERS
Street 156 NORTH LAKE DRIVE
City PRESTONSBURG
State KY
ZIP 41653
Phone 606 506-5077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director BENJAMIN D. FERGUSON

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