18D1041660 CLIA NUMBER - CORNERSTONE MANOR I LLC

Laboratory Demographics

  • CLIA Code: 18D1041660
  • Facility Name: CORNERSTONE MANOR I LLC
  • Facility Address: 515 WATER ST
    SCOTTSVILLE, KY
    ZIP 42164
  • Facility Phone: (917) 558-7558
  • Facility Type: Other - PERSONAL CARE HOME
  • Facility Type: Waiver
  • Lab Director: MR. BRADLEY G. AMBERLY
  • NPI Number: 1073326237
  • Taxonomy: 3104A0625X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D1041660
LAB Type Other - PERSONAL CARE HOME
Facility Name CORNERSTONE MANOR I LLC
Street 515 WATER ST
City SCOTTSVILLE
State KY
ZIP 42164
Phone 9175587558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2026
Certificate Expiration Date 2/15/2028
Facility Type Other - PERSONAL CARE HOME
Lab Director MR. BRADLEY G. AMBERLY

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This page was last updated on: 5/18/2026