18D2107556 CLIA NUMBER - MCHC PINEVILLE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 18D2107556
  • Facility Name: MCHC PINEVILLE MEDICAL CLINIC
  • Facility Address: 251 S PINE STREET
    PINEVILLE, KY
    ZIP 40977
  • Facility Phone: 606 337-3500
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. BYRON THOMAS
  • NPI Number: 1932575784
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2107556
LAB Type Federally Qualified Health Center
Facility Name MCHC PINEVILLE MEDICAL CLINIC
Street 251 S PINE STREET
City PINEVILLE
State KY
ZIP 40977
Phone 606 337-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Federally Qualified Health Center
Lab Director DR. BYRON THOMAS

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