18D1025568 CLIA NUMBER - CUMBERLAND ADVENTURE PROGRAM

Laboratory Demographics

CLIA Code: 18D1025568
Facility Name: CUMBERLAND ADVENTURE PROGRAM
Facility Address: 500 NEW START ROAD
BRONSTON, KY
ZIP 42518
Facility Phone: 502 245-2101
Facility Type: Other
Facility Type: Waiver
Lab Director: HOLLY TITUS
NPI Number: 1891038493
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	18D1025568
LAB Type	Other
Facility Name	CUMBERLAND ADVENTURE PROGRAM
Street	500 NEW START ROAD
City	BRONSTON
State	KY
ZIP	42518
Phone	502 245-2101
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/25/2025
Certificate Expiration Date	6/24/2027
Facility Type	Other
Lab Director	HOLLY TITUS

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