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18D0326777 CLIA NUMBER - LAKE CUMBERLAND MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 18D0326777

Facility Name: LAKE CUMBERLAND MEDICAL ASSOCIATES

Facility Address:
350 HOSPITAL WAY SUITE 100
SOMERSET, KY
ZIP 42503
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Facility Phone Number: 606 451-2600

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1013553247

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name Field Value
CLIA Number 18D0326777
LAB Type Independent
Facility Name LAKE CUMBERLAND MEDICAL ASSOCIATES
Street 350 HOSPITAL WAY SUITE 100
City SOMERSET
State KY
ZIP 42503
Phone 606 451-2600
CertificateType 1
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Accreditation

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