18D2119540 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER, INC HOMEPLACE CLINIC

Laboratory Demographics

  • CLIA Code: 18D2119540
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC HOMEPLACE CLINIC
  • Facility Address: 26229 US HIGHWAY 119N, SUITE A
    BELFRY, KY
    ZIP 41514
  • Facility Phone: 606 788-1345
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTIN FREEMAN
  • NPI Number: 1285244244
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2119540
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER, INC HOMEPLACE CLINIC
Street 26229 US HIGHWAY 119N, SUITE A
City BELFRY
State KY
ZIP 41514
Phone 606 788-1345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Federally Qualified Health Center
Lab Director DR. KRISTIN FREEMAN

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