18D2269354 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER - HOMEPLACE OB/GYN

Laboratory Demographics

  • CLIA Code: 18D2269354
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER - HOMEPLACE OB/GYN
  • Facility Address: 22 HARBOR LANE
    PRESTONSBURG, KY
    ZIP 41653
  • Facility Phone: 606 886-8572
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. JESSICA BRANHAM
  • NPI Number: 1184182180
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2269354
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER - HOMEPLACE OB/GYN
Street 22 HARBOR LANE
City PRESTONSBURG
State KY
ZIP 41653
Phone 606 886-8572
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Federally Qualified Health Center
Lab Director DR. JESSICA BRANHAM

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