18D2113628 CLIA NUMBER - TOTAL CARE RURAL HEALTH CLINIC

Laboratory Demographics

CLIA Number: 18D2113628

Facility Name: TOTAL CARE RURAL HEALTH CLINIC

Facility Address:
850 RIVERVIEW AVE
PINEVILLE, KY
ZIP 40977
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Facility Phone Number: 606 654-4758

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1700245800

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	18D2113628
LAB Type	Rural Health Clinic
Facility Name	TOTAL CARE RURAL HEALTH CLINIC
Street	850 RIVERVIEW AVE
City	PINEVILLE
State	KY
ZIP	40977
Phone	606 654-4758
CertificateType	4
CertificateEffectiveDate	5/26/2022
CertificateExpirationDate	5/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024