18D0675494 CLIA NUMBER - GREEN RIVER TRAILS, LLC

Laboratory Demographics

  • CLIA Code: 18D0675494
  • Facility Name: GREEN RIVER TRAILS, LLC
  • Facility Address: 213 INDUSTRIAL ROAD
    GREENSBURG, KY
    ZIP 42743
  • Facility Phone: (270) 932-4241
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MR. DAVID GARST
  • NPI Number: 1568290344
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0675494
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GREEN RIVER TRAILS, LLC
Street 213 INDUSTRIAL ROAD
City GREENSBURG
State KY
ZIP 42743
Phone 2709324241
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. DAVID GARST

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This page was last updated on: 5/18/2026