18D0648493 CLIA NUMBER - LP BRODHEAD, LLC D/B/A ROCKCASTLE CARE & REHAB

Laboratory Demographics

  • CLIA Code: 18D0648493
  • Facility Name: LP BRODHEAD, LLC D/B/A ROCKCASTLE CARE & REHAB
  • Facility Address: 371 WEST MAIN STREET
    BRODHEAD, KY
    ZIP 40409
  • Facility Phone: 606 758-8711
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID DICKERSON
  • NPI Number: 1609053735
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0648493
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP BRODHEAD, LLC D/B/A ROCKCASTLE CARE & REHAB
Street 371 WEST MAIN STREET
City BRODHEAD
State KY
ZIP 40409
Phone 606 758-8711
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 DAVID DICKERSON

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