18D2175937 CLIA NUMBER - JUNIPER HEALTH ELLIOTT COUNTY

Laboratory Demographics

  • CLIA Code: 18D2175937
  • Facility Name: JUNIPER HEALTH ELLIOTT COUNTY
  • Facility Address: 308 N KY 7
    SANDY HOOK, KY
    ZIP 41171
  • Facility Phone: 606 464-0151
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. DERRICK J. HAMILTON
  • NPI Number: 1669588505
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2175937
LAB Type Federally Qualified Health Center
Facility Name JUNIPER HEALTH ELLIOTT COUNTY
Street 308 N KY 7
City SANDY HOOK
State KY
ZIP 41171
Phone 606 464-0151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Federally Qualified Health Center
Lab Director DR. DERRICK J. HAMILTON

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