18D1060096 CLIA NUMBER - SHADY LAWN, LLC

Laboratory Demographics

  • CLIA Code: 18D1060096
  • Facility Name: SHADY LAWN, LLC
  • Facility Address: 108 SOUTH MILLER STREET
    CYNTHIANA, KY
    ZIP 41031
  • Facility Phone: (859) 234-2606
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELLI L. BAILEY
  • NPI Number: 1467683730
  • Taxonomy: 311Z00000X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D1060096
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHADY LAWN, LLC
Street 108 SOUTH MILLER STREET
City CYNTHIANA
State KY
ZIP 41031
Phone 8592342606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KELLI L. BAILEY

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