18D2295104 CLIA NUMBER - RENEWED MINDS PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 18D2295104
  • Facility Name: RENEWED MINDS PSYCHIATRY
  • Facility Address: 602 CANNONS POINT LN
    MCDANIELS, KY
    ZIP 40152
  • Facility Phone: 270 668-4246
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. ALELEA B. HEWITT
  • NPI Number: 1457034720
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2295104
LAB Type Practitioner Other
Facility Name RENEWED MINDS PSYCHIATRY
Street 602 CANNONS POINT LN
City MCDANIELS
State KY
ZIP 40152
Phone 270 668-4246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Practitioner Other
Lab Director MS. ALELEA B. HEWITT

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