18D2165015 CLIA NUMBER - NORTHEAST HEAD START

Laboratory Demographics

CLIA Number: 18D2165015

Facility Name: NORTHEAST HEAD START

Facility Address:
21039 WEST US 60
OLIVE HILL, KY
ZIP 41164
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Facility Phone Number: 606 286-4443

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1174813075

Taxonomy: 347E00000X - Transportation Broker
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.

CLIA Record

Field Name	Field Value
CLIA Number	18D2165015
LAB Type	School/Student Health Service
Facility Name	NORTHEAST HEAD START
Street	21039 WEST US 60
City	OLIVE HILL
State	KY
ZIP	41164
Phone	606 286-4443
CertificateType	4
CertificateEffectiveDate	4/17/2023
CertificateExpirationDate	4/16/2025
FacilityType	Waiver

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