18D2107249 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER HOME PLACE CLINIC

Laboratory Demographics

  • CLIA Code: 18D2107249
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER HOME PLACE CLINIC
  • Facility Address: 118 RIVER DRIVE
    PIKEVILLE, KY
    ZIP 41501
  • Facility Phone: 606 432-3143
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KRISTIN FREEMAN MD
  • NPI Number: 1497397681
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2107249
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER HOME PLACE CLINIC
Street 118 RIVER DRIVE
City PIKEVILLE
State KY
ZIP 41501
Phone 606 432-3143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Federally Qualified Health Center
Lab Director KRISTIN FREEMAN MD

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