18D0322677 CLIA NUMBER - LP ANNVILLE, LLC DBA SIGNATURE HEALTCARE AT JACKSON MANOR REHAB & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 18D0322677
  • Facility Name: LP ANNVILLE, LLC DBA SIGNATURE HEALTCARE AT JACKSON MANOR REHAB & WELLNESS CENTER
  • Facility Address: 96 HIGHWAY 3444
    ANNVILLE, KY
    ZIP 40402
  • Facility Phone: 606 364-5197
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. LINDA CONLIN
  • NPI Number: 1760853725
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0322677
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP ANNVILLE, LLC DBA SIGNATURE HEALTCARE AT JACKSON MANOR REHAB & WELLNESS CENTER
Street 96 HIGHWAY 3444
City ANNVILLE
State KY
ZIP 40402
Phone 606 364-5197
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. LINDA CONLIN

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