36D0327508 CLIA NUMBER - KNOX COUNTY COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 36D0327508
  • Facility Name: KNOX COUNTY COMMUNITY HEALTH CENTER
  • Facility Address: 11660 UPPER GILCHRIST ROAD
    MOUNT VERNON, OH
    ZIP 43050
  • Facility Phone: 740 392-2200
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: BRANDI L. PENNINGTON
  • NPI Number: 1760955975
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D0327508
LAB Type Federally Qualified Health Center
Facility Name KNOX COUNTY COMMUNITY HEALTH CENTER
Street 11660 UPPER GILCHRIST ROAD
City MOUNT VERNON
State OH
ZIP 43050
Phone 740 392-2200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Federally Qualified Health Center
Lab Director BRANDI L. PENNINGTON

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