18D0324251 CLIA NUMBER - ROSEDALE MANOR

Laboratory Demographics

  • CLIA Code: 18D0324251
  • Facility Name: ROSEDALE MANOR
  • Facility Address: 4250 GLENN AVENUE
    COVINGTON, KY
    ZIP 41015
  • Facility Phone: 606 431-2244
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LONDA KNOLLMAN
  • NPI Number: 1215069943
  • Taxonomy: 332BP3500X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 18D0324251
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROSEDALE MANOR
Street 4250 GLENN AVENUE
City COVINGTON
State KY
ZIP 41015
Phone 606 431-2244
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 LONDA KNOLLMAN

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