18D2228283 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER - HOMEPLACE CLINIC

Laboratory Demographics

  • CLIA Code: 18D2228283
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER - HOMEPLACE CLINIC
  • Facility Address: 29 CABIN FORK RD
    JENKINS, KY
    ZIP 41537
  • Facility Phone: 606 886-8572
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTIN FREEMAN
  • NPI Number: 1184298580
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2228283
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER - HOMEPLACE CLINIC
Street 29 CABIN FORK RD
City JENKINS
State KY
ZIP 41537
Phone 606 886-8572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Federally Qualified Health Center
Lab Director DR. KRISTIN FREEMAN

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