18D2292637 CLIA NUMBER - FRESH START HEALTH PSC

Laboratory Demographics

  • CLIA Code: 18D2292637
  • Facility Name: FRESH START HEALTH PSC
  • Facility Address: 207 PLUMMER LANE
    VANCEBURG, KY
    ZIP 41179
  • Facility Phone: 606 225-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JERREL H. BOYER
  • NPI Number: 1669252995
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2292637
LAB Type Physician Office
Facility Name FRESH START HEALTH PSC
Street 207 PLUMMER LANE
City VANCEBURG
State KY
ZIP 41179
Phone 606 225-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director DR. JERREL H. BOYER

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