18D2268000 CLIA NUMBER - BIG SANDY COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 18D2268000

Facility Name: BIG SANDY COMMUNITY HEALTH CENTER

Facility Address:
246 KY ROUTE 979
HAROLD, KY
ZIP 41635
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Facility Phone Number: 606 478-2200

Facility Type: Federally Qualified Health Center

Certificate Type: Certificate of Compliance

NPI Number: 1528787199

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2268000
LAB Type	Federally Qualified Health Center
Facility Name	BIG SANDY COMMUNITY HEALTH CENTER
Street	246 KY ROUTE 979
City	HAROLD
State	KY
ZIP	41635
Phone	606 478-2200
CertificateType	2
CertificateEffectiveDate	9/6/2022
CertificateExpirationDate	9/5/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024