Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
18D1057697
|
|
Clinical laboratory number
|
|
Lab Name
|
LOG MOUNTAIN FAMILY HEALTHCARE
|
|
Laboratory Name
|
|
Lab Type
|
Practitioner Other
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
606-337-8887
|
|
Laboratory telephone number
|
|
Fax
|
606-337-8859
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
ROUTE 1, BOX 84 A
|
|
Primary location adress line
|
|
City
|
PINEVILLE
|
|
Primary location city name
|
|
State
|
KY
|
|
Primary location state name
|
|
Zip
|
40977
|
|
Primary location postal code
|