18D2294977 CLIA NUMBER - JOHNSON COUNTY COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 18D2294977

Facility Name: JOHNSON COUNTY COMMUNITY HEALTH CENTER

Facility Address:
450 SOUTH MAYO TRAIL
PAINTSVILLE, KY
ZIP 41240
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Facility Phone Number: 606 887-6145

Facility Type: Federally Qualified Health Center

Certificate Type: Certificate of Compliance

NPI Number: 1770567588

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	18D2294977
LAB Type	Federally Qualified Health Center
Facility Name	JOHNSON COUNTY COMMUNITY HEALTH CENTER
Street	450 SOUTH MAYO TRAIL
City	PAINTSVILLE
State	KY
ZIP	41240
Phone	606 887-6145
CertificateType	2
CertificateEffectiveDate	12/4/2023
CertificateExpirationDate	12/3/2025
FacilityType	Compliance

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