18D1025574 CLIA NUMBER - SUNRISE CHILDREN'S SERVICES EASTERN MOUNTAIN REGION FOSTER CARE, IVEL

Laboratory Demographics

  • CLIA Code: 18D1025574
  • Facility Name: SUNRISE CHILDREN'S SERVICES EASTERN MOUNTAIN REGION FOSTER CARE, IVEL
  • Facility Address: 123 WEDDINGTON PARK
    PIKEVILLE, KY
    ZIP 41501
  • Facility Phone: 606 478-3200
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: HOLLY TITUS
  • NPI Number: 1740624220
  • Taxonomy: 253J00000X - Foster Care Agency

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CLIA Record

Field Name Field Value
CLIA Number 18D1025574
LAB Type Other
Facility Name SUNRISE CHILDREN'S SERVICES EASTERN MOUNTAIN REGION FOSTER CARE, IVEL
Street 123 WEDDINGTON PARK
City PIKEVILLE
State KY
ZIP 41501
Phone 606 478-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Other
Lab Director HOLLY TITUS

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