18D0688663 CLIA NUMBER - FARTHING MAYFIELD KY, LLC DBA GREEN ACRES HEALTHCARE

Laboratory Demographics

  • CLIA Code: 18D0688663
  • Facility Name: FARTHING MAYFIELD KY, LLC DBA GREEN ACRES HEALTHCARE
  • Facility Address: 402 W FARTHING STREET
    MAYFIELD, KY
    ZIP 42066
  • Facility Phone: 502 247-6477
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. ANGELA STANTON
  • NPI Number: 1093350233
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0688663
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FARTHING MAYFIELD KY, LLC DBA GREEN ACRES HEALTHCARE
Street 402 W FARTHING STREET
City MAYFIELD
State KY
ZIP 42066
Phone 502 247-6477
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 MS. ANGELA STANTON

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