18D0954829 CLIA NUMBER - MADONNA MANOR

Laboratory Demographics

  • CLIA Code: 18D0954829
  • Facility Name: MADONNA MANOR
  • Facility Address: 2344 AMSTERDAM RD
    VILLA HILLS, KY
    ZIP 41017
  • Facility Phone: (606) 341-3981
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MAUREEN D. WATERS
  • NPI Number: 1043215296
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0954829
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MADONNA MANOR
Street 2344 AMSTERDAM RD
City VILLA HILLS
State KY
ZIP 41017
Phone 6063413981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MAUREEN D. WATERS

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This page was last updated on: 5/18/2026