18D0962596 CLIA NUMBER - HARBORVIEW DOVER, LLC

Laboratory Demographics

  • CLIA Code: 18D0962596
  • Facility Name: HARBORVIEW DOVER, LLC
  • Facility Address: 112 DOVER DRIVE
    GEORGETOWN, KY
    ZIP 40324
  • Facility Phone: 502 863-9529
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MR. BARRY DEROSSETT
  • NPI Number: 1053953406
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D0962596
LAB Type Other
Facility Name HARBORVIEW DOVER, LLC
Street 112 DOVER DRIVE
City GEORGETOWN
State KY
ZIP 40324
Phone 502 863-9529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Other
Lab Director MR. BARRY DEROSSETT

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