18D0915336 CLIA NUMBER - LIBERTY CARE & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 18D0915336
  • Facility Name: LIBERTY CARE & REHABILITATION CENTER
  • Facility Address: 616 S WALLACE WILKINSON BLVD
    LIBERTY, KY
    ZIP 42539
  • Facility Phone: 606 787-6889
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. HOUSAM HADDAD
  • NPI Number: 1992145650
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0915336
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIBERTY CARE & REHABILITATION CENTER
Street 616 S WALLACE WILKINSON BLVD
City LIBERTY
State KY
ZIP 42539
Phone 606 787-6889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. HOUSAM HADDAD

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