18D0980427 CLIA NUMBER - HANGING ROCK LTC, LLC DBA TRI-CITIES NURSING & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 18D0980427
  • Facility Name: HANGING ROCK LTC, LLC DBA TRI-CITIES NURSING & REHABILITATION CENTER
  • Facility Address: 19101 US 119 NORTH
    CUMBERLAND, KY
    ZIP 40823
  • Facility Phone: 606 589-5421
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JEFF WILDER
  • NPI Number: 1144256595
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D0980427
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HANGING ROCK LTC, LLC DBA TRI-CITIES NURSING & REHABILITATION CENTER
Street 19101 US 119 NORTH
City CUMBERLAND
State KY
ZIP 40823
Phone 606 589-5421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JEFF WILDER

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