18D2235178 CLIA NUMBER - PINEVILLE ER SERVICES DBA ADVANCED RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 18D2235178
  • Facility Name: PINEVILLE ER SERVICES DBA ADVANCED RURAL HEALTH CLINIC
  • Facility Address: 121 W VIRGINIA AVENUE
    PINEVILLE, KY
    ZIP 40977
  • Facility Phone: 606 654-2412
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. VELUPILLAI WIGNAKUMAR
  • NPI Number: 1578194890
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2235178
LAB Type Rural Health Clinic
Facility Name PINEVILLE ER SERVICES DBA ADVANCED RURAL HEALTH CLINIC
Street 121 W VIRGINIA AVENUE
City PINEVILLE
State KY
ZIP 40977
Phone 606 654-2412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Rural Health Clinic
Lab Director DR. VELUPILLAI WIGNAKUMAR

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