18D0712603 CLIA NUMBER - BEAVER DAM NURSING & REHAB CENTER, INC

Laboratory Demographics

  • CLIA Code: 18D0712603
  • Facility Name: BEAVER DAM NURSING & REHAB CENTER, INC
  • Facility Address: 1595 US HWY 231 SOUTH
    BEAVER DAM, KY
    ZIP 42320
  • Facility Phone: 270 274-9646
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. CAROLYN R. CARROLL
  • NPI Number: 1669543716
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0712603
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEAVER DAM NURSING & REHAB CENTER, INC
Street 1595 US HWY 231 SOUTH
City BEAVER DAM
State KY
ZIP 42320
Phone 270 274-9646
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. CAROLYN R. CARROLL

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This page was last updated on: 3/20/2025