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18D0686101 CLIA NUMBER - INTREPID USA HEALTHCARE SERVICES

Laboratory Demographics

CLIA Number: 18D0686101

Facility Name: INTREPID USA HEALTHCARE SERVICES

Facility Address:
230 TOWER CIRCLE
SOMERSET, KY
ZIP 42503
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Facility Phone Number: 606 679-7439

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1467434043

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 18D0686101
LAB Type Home Health Agency
Facility Name INTREPID USA HEALTHCARE SERVICES
Street 230 TOWER CIRCLE
City SOMERSET
State KY
ZIP 42503
Phone 606 679-7439
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024