18D2294406 CLIA NUMBER - MOUNTAIN VIEW PACE

Laboratory Demographics

  • CLIA Code: 18D2294406
  • Facility Name: MOUNTAIN VIEW PACE
  • Facility Address: 14892 NORTH US HWY 25E
    CORBIN, KY
    ZIP 40701
  • Facility Phone: 814 456-0383
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MR. JAMES RUMMEL
  • NPI Number: 1851627244
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 18D2294406
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN VIEW PACE
Street 14892 NORTH US HWY 25E
City CORBIN
State KY
ZIP 40701
Phone 814 456-0383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Federally Qualified Health Center
Lab Director MR. JAMES RUMMEL

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