18D0322536 CLIA NUMBER - OWENTON MANOR CARE AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 18D0322536
  • Facility Name: OWENTON MANOR CARE AND REHABILITATION CENTER
  • Facility Address: 905 HIGHWAY 127 NORTH
    OWENTON, KY
    ZIP 40359
  • Facility Phone: 502 484-5721
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. CASSI FISHER
  • NPI Number: 1194839423
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0322536
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OWENTON MANOR CARE AND REHABILITATION CENTER
Street 905 HIGHWAY 127 NORTH
City OWENTON
State KY
ZIP 40359
Phone 502 484-5721
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 MS. CASSI FISHER

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This page was last updated on: 3/20/2025