18D2321030 CLIA NUMBER - BELLEFONTE HOSPITAL AND RECOVERY CENTER - INTAKE AND EXIT

Laboratory Demographics

  • CLIA Code: 18D2321030
  • Facility Name: BELLEFONTE HOSPITAL AND RECOVERY CENTER - INTAKE AND EXIT
  • Facility Address: 12 & 23 PHYSICIANS DRIVE
    ASHLAND, KY
    ZIP 41101
  • Facility Phone: 606 220-0010
  • Facility Type: Other - BH AND SUD TX
  • Facility Type: Waiver
  • Lab Director: MR. TIM ROBINSON
  • NPI Number: 1205137494
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2321030
LAB Type Other - BH AND SUD TX
Facility Name BELLEFONTE HOSPITAL AND RECOVERY CENTER - INTAKE AND EXIT
Street 12 & 23 PHYSICIANS DRIVE
City ASHLAND
State KY
ZIP 41101
Phone 606 220-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Other - BH AND SUD TX
Lab Director MR. TIM ROBINSON

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