18D2157797 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER, INC - HOMEPLACE CLINIC

Laboratory Demographics

  • CLIA Code: 18D2157797
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC - HOMEPLACE CLINIC
  • Facility Address: 129 FRALEY PLZ
    GRAYSON, KY
    ZIP 41143
  • Facility Phone: 606 474-0042
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTIN FREEMAN
  • NPI Number: 1265944060
  • Taxonomy: 261QA0600X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2157797
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER, INC - HOMEPLACE CLINIC
Street 129 FRALEY PLZ
City GRAYSON
State KY
ZIP 41143
Phone 606 474-0042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Federally Qualified Health Center
Lab Director DR. KRISTIN FREEMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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