18D2234792 CLIA NUMBER - FRESH START HEALTH PSC

Laboratory Demographics

  • CLIA Code: 18D2234792
  • Facility Name: FRESH START HEALTH PSC
  • Facility Address: 207 N CAROL MALONE BLVD STE 3
    GRAYSON, KY
    ZIP 41143
  • Facility Phone: 606 225-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JERREL H. BOYER
  • NPI Number: 1487143806
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 18D2234792
LAB Type Physician Office
Facility Name FRESH START HEALTH PSC
Street 207 N CAROL MALONE BLVD STE 3
City GRAYSON
State KY
ZIP 41143
Phone 606 225-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director DR. JERREL H. BOYER

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