18D0719341 CLIA NUMBER - HYDEN NURSING HOME, LLC

Laboratory Demographics

  • CLIA Code: 18D0719341
  • Facility Name: HYDEN NURSING HOME, LLC
  • Facility Address: 21040 US HIGHWAY 421 S PO BOX 618
    HYDEN, KY
    ZIP 41749
  • Facility Phone: 606 672-2940
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA SPARKS
  • NPI Number: 1609905272
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D0719341
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HYDEN NURSING HOME, LLC
Street 21040 US HIGHWAY 421 S PO BOX 618
City HYDEN
State KY
ZIP 41749
Phone 606 672-2940
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 MELISSA SPARKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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