18D2144346 CLIA NUMBER - HOPKINSVILLE FAMILY CARE PSC

Laboratory Demographics

CLIA Number: 18D2144346

Facility Name: HOPKINSVILLE FAMILY CARE PSC

Facility Address:
1914 S VIRGINIA ST
HOPKINSVILLE, KY
ZIP 42240
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Facility Phone Number: 270 220-0366

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1760980544

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2144346
LAB Type	Rural Health Clinic
Facility Name	HOPKINSVILLE FAMILY CARE PSC
Street	1914 S VIRGINIA ST
City	HOPKINSVILLE
State	KY
ZIP	42240
Phone	270 220-0366
CertificateType	4
CertificateEffectiveDate	2/15/2024
CertificateExpirationDate	2/14/2026
FacilityType	Waiver

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