18D2302190 CLIA NUMBER - FRONTIER BEHAVIORAL HEALTH CENTER PLLC

Laboratory Demographics

  • CLIA Code: 18D2302190
  • Facility Name: FRONTIER BEHAVIORAL HEALTH CENTER PLLC
  • Facility Address: 400 UNIVERSITY DRIVE STE 102B
    PRESTONSBURG, KY
    ZIP 41653
  • Facility Phone: 919 471-5474
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: TIWEYA BENTLY
  • NPI Number: 1669259909
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 18D2302190
LAB Type Physician Office
Facility Name FRONTIER BEHAVIORAL HEALTH CENTER PLLC
Street 400 UNIVERSITY DRIVE STE 102B
City PRESTONSBURG
State KY
ZIP 41653
Phone 919 471-5474
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director TIWEYA BENTLY

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