18D0664842 CLIA NUMBER - LP GEORGETOWN, LLC DBA SIGNATURE HEALTHCARE OF GEORGETOWN

Laboratory Demographics

  • CLIA Code: 18D0664842
  • Facility Name: LP GEORGETOWN, LLC DBA SIGNATURE HEALTHCARE OF GEORGETOWN
  • Facility Address: 102 POCAHONTAS TRAIL
    GEORGETOWN, KY
    ZIP 40324
  • Facility Phone: 502 863-3696
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MR. CLINTON CAUDILL
  • NPI Number: 1528259892
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0664842
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP GEORGETOWN, LLC DBA SIGNATURE HEALTHCARE OF GEORGETOWN
Street 102 POCAHONTAS TRAIL
City GEORGETOWN
State KY
ZIP 40324
Phone 502 863-3696
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 MR. CLINTON CAUDILL

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