18D2302265 CLIA NUMBER - HOPKINSVILLE COMMUNITY CARE

Laboratory Demographics

CLIA Number: 18D2302265

Facility Name: HOPKINSVILLE COMMUNITY CARE

Facility Address:
1100 S MAIN ST STE 21
HOPKINSVILLE, KY
ZIP 42240
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Facility Phone Number: 606 425-5768

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1205070042

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	18D2302265
LAB Type	Federally Qualified Health Center
Facility Name	HOPKINSVILLE COMMUNITY CARE
Street	1100 S MAIN ST STE 21
City	HOPKINSVILLE
State	KY
ZIP	42240
Phone	606 425-5768
CertificateType	4
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Waiver

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