18D0322402 CLIA NUMBER - IRVINE OPERATING COMPANY LLC D/B/A IRVINE NURSING AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 18D0322402
  • Facility Name: IRVINE OPERATING COMPANY LLC D/B/A IRVINE NURSING AND REHABILITATION CENTER
  • Facility Address: 411 BERTHA WALLACE DRIVE
    IRVINE, KY
    ZIP 40336
  • Facility Phone: 606 723-5153
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MR. MICA COLLINS
  • NPI Number: 1598240897
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0322402
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IRVINE OPERATING COMPANY LLC D/B/A IRVINE NURSING AND REHABILITATION CENTER
Street 411 BERTHA WALLACE DRIVE
City IRVINE
State KY
ZIP 40336
Phone 606 723-5153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MR. MICA COLLINS

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