18D2257569 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER - PIKEVILLE DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 18D2257569
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER - PIKEVILLE DETENTION CENTER
  • Facility Address: 172 DIVISION ST, SUITE 103
    PIKEVILLE, KY
    ZIP 41501
  • Facility Phone: 606 886-8572
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MS. TONYA FIELDS
  • NPI Number: 1699386078
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2257569
LAB Type Prison
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER - PIKEVILLE DETENTION CENTER
Street 172 DIVISION ST, SUITE 103
City PIKEVILLE
State KY
ZIP 41501
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 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Prison
Lab Director MS. TONYA FIELDS

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This page was last updated on: 6/4/2025