18D2116239 CLIA NUMBER - MCHC CUMBERLAND MEDICAL AND DENTAL CLINIC

Laboratory Demographics

  • CLIA Code: 18D2116239
  • Facility Name: MCHC CUMBERLAND MEDICAL AND DENTAL CLINIC
  • Facility Address: 1620 EAST MAIN STREET
    CUMBERLAND, KY
    ZIP 40823
  • Facility Phone: 606 589-6113
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MS. DANIELLE HARVELL
  • NPI Number: 1821096025
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 18D2116239
LAB Type Mobile Laboratory
Facility Name MCHC CUMBERLAND MEDICAL AND DENTAL CLINIC
Street 1620 EAST MAIN STREET
City CUMBERLAND
State KY
ZIP 40823
Phone 606 589-6113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Mobile Laboratory
Lab Director MS. DANIELLE HARVELL

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