18D0327081 CLIA NUMBER - LP HODGENVILLE, LLC D/B/A SUNRISE MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 18D0327081
  • Facility Name: LP HODGENVILLE, LLC D/B/A SUNRISE MANOR NURSING HOME
  • Facility Address: 717 N LINCOLN BLVD
    HODGENVILLE, KY
    ZIP 42748
  • Facility Phone: 270 358-3103
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. AMY DURBIN
  • NPI Number: 1003818303
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0327081
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP HODGENVILLE, LLC D/B/A SUNRISE MANOR NURSING HOME
Street 717 N LINCOLN BLVD
City HODGENVILLE
State KY
ZIP 42748
Phone 270 358-3103
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. AMY DURBIN

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