18D2290787 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER, INC - HOMEPLACE CLINIC

Laboratory Demographics

  • CLIA Code: 18D2290787
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC - HOMEPLACE CLINIC
  • Facility Address: 263 KY ROUTE 122
    MARTIN, KY
    ZIP 41649
  • Facility Phone: 606 886-8572
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTIN FREEMAN
  • NPI Number: 1346963261
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2290787
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER, INC - HOMEPLACE CLINIC
Street 263 KY ROUTE 122
City MARTIN
State KY
ZIP 41649
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 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Federally Qualified Health Center
Lab Director DR. KRISTIN FREEMAN

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