18D2136790 CLIA NUMBER - HOMETOWN CARE

Laboratory Demographics

  • CLIA Code: 18D2136790
  • Facility Name: HOMETOWN CARE
  • Facility Address: 1871 US HWY 41 A SOUTH
    DIXON, KY
    ZIP 42409
  • Facility Phone: 270 639-9440
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: REGINA ELDER
  • NPI Number: 1417395815
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2136790
LAB Type Practitioner Other
Facility Name HOMETOWN CARE
Street 1871 US HWY 41 A SOUTH
City DIXON
State KY
ZIP 42409
Phone 270 639-9440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Practitioner Other
Lab Director REGINA ELDER

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