18D0672442 CLIA NUMBER - GRAYSON MANOR NURSING FACILITY

Laboratory Demographics

  • CLIA Code: 18D0672442
  • Facility Name: GRAYSON MANOR NURSING FACILITY
  • Facility Address: 505 EAST LAKE DRIVE
    LEITCHFIELD, KY
    ZIP 42754
  • Facility Phone: 502 259-3676
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH VANCE
  • NPI Number: 1437210515
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0672442
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRAYSON MANOR NURSING FACILITY
Street 505 EAST LAKE DRIVE
City LEITCHFIELD
State KY
ZIP 42754
Phone 502 259-3676
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 JOSEPH VANCE

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