18D1011482 CLIA NUMBER - RAVEN ROCK DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D1011482
  • Facility Name: RAVEN ROCK DIALYSIS
  • Facility Address: 483 GATEWAY INDUSTRIAL PARKWAY
    JENKINS, KY
    ZIP 41537
  • Facility Phone: 606 633-3232
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. KURT SOWERS
  • NPI Number: 1235194184
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1011482
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RAVEN ROCK DIALYSIS
Street 483 GATEWAY INDUSTRIAL PARKWAY
City JENKINS
State KY
ZIP 41537
Phone 606 633-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. KURT SOWERS

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