18D0880191 CLIA NUMBER - CV LOUISVILLE OPCO 1 LLC D/B/A SYCAMORE HEIGHTS HEALTH AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 18D0880191
  • Facility Name: CV LOUISVILLE OPCO 1 LLC D/B/A SYCAMORE HEIGHTS HEALTH AND REHABILITATION
  • Facility Address: 2141 SYCAMORE AVENUE
    LOUISVILLE, KY
    ZIP 40206
  • Facility Phone: 502 895-5417
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. TIFFANY JAMES
  • NPI Number: 1053818682
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0880191
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CV LOUISVILLE OPCO 1 LLC D/B/A SYCAMORE HEIGHTS HEALTH AND REHABILITATION
Street 2141 SYCAMORE AVENUE
City LOUISVILLE
State KY
ZIP 40206
Phone 502 895-5417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. TIFFANY JAMES

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