18D0324849 CLIA NUMBER - SOUTH SHORE NURSING AND REHABILITATION, LLC

Laboratory Demographics

  • CLIA Code: 18D0324849
  • Facility Name: SOUTH SHORE NURSING AND REHABILITATION, LLC
  • Facility Address: PO BOX 489
    SOUTH SHORE, KY
    ZIP 41175
  • Facility Phone: 606 932-3127
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. ANGIE DUMMITT
  • NPI Number: 1477541688
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0324849
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH SHORE NURSING AND REHABILITATION, LLC
Street PO BOX 489
City SOUTH SHORE
State KY
ZIP 41175
Phone 606 932-3127
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. ANGIE DUMMITT

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