18D0714259 CLIA NUMBER - NAZARETH HOME, INC

Laboratory Demographics

  • CLIA Code: 18D0714259
  • Facility Name: NAZARETH HOME, INC
  • Facility Address: 2000 NEWBURG ROAD
    LOUISVILLE, KY
    ZIP 40205
  • Facility Phone: 502 459-9681
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. MARY HAYNES
  • NPI Number: 1346312824
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0714259
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NAZARETH HOME, INC
Street 2000 NEWBURG ROAD
City LOUISVILLE
State KY
ZIP 40205
Phone 502 459-9681
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. MARY HAYNES

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This page was last updated on: 6/4/2025