18D0322663 CLIA NUMBER - CLARK REGIONAL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 18D0322663

Facility Name: CLARK REGIONAL MEDICAL CENTER

Facility Address:
175 HOSPITAL DRIVE ATTN AMY KENNEY
WINCHESTER, KY
ZIP 40391
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Facility Phone Number: 859 745-3500

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1518051762

Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

CLIA Record

Field Name	Field Value
CLIA Number	18D0322663
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	CLARK REGIONAL MEDICAL CENTER
Street	175 HOSPITAL DRIVE ATTN AMY KENNEY
City	WINCHESTER
State	KY
ZIP	40391
Phone	859 745-3500
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024