18D2327885 CLIA NUMBER - MOUNTAIN COMPREHENSIVE CARE CENTER, INC HOMEPLACE CLINIC

Laboratory Demographics

  • CLIA Code: 18D2327885
  • Facility Name: MOUNTAIN COMPREHENSIVE CARE CENTER, INC HOMEPLACE CLINIC
  • Facility Address: 540 PARKWAY DRIVE
    SALYERSVILLE, KY
    ZIP 41465
  • Facility Phone: 606 886-8572
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. KRISTIN FREEMAN
  • NPI Number: 1124883574
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2327885
LAB Type Federally Qualified Health Center
Facility Name MOUNTAIN COMPREHENSIVE CARE CENTER, INC HOMEPLACE CLINIC
Street 540 PARKWAY DRIVE
City SALYERSVILLE
State KY
ZIP 41465
Phone 606 886-8572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Federally Qualified Health Center
Lab Director DR. KRISTIN FREEMAN

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