18D0992802 CLIA NUMBER - ACTIVE DAY OF FT THOMAS

Laboratory Demographics

  • CLIA Code: 18D0992802
  • Facility Name: ACTIVE DAY OF FT THOMAS
  • Facility Address: 90 ALEXANDRIA PIKE SUITE 4
    FORT THOMAS, KY
    ZIP 41075
  • Facility Phone: 859 442-7000
  • Facility Type: Other - ADHC
  • Facility Type: Waiver
  • Lab Director: MS. LAVINA JOHNSON
  • NPI Number: 1295873032
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0992802
LAB Type Other - ADHC
Facility Name ACTIVE DAY OF FT THOMAS
Street 90 ALEXANDRIA PIKE SUITE 4
City FORT THOMAS
State KY
ZIP 41075
Phone 859 442-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Other - ADHC
Lab Director MS. LAVINA JOHNSON

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