18D1090919 CLIA NUMBER - ADVENTHEALTH MANCHESTER MOBILE HEALTH FAIR

Laboratory Demographics

  • CLIA Code: 18D1090919
  • Facility Name: ADVENTHEALTH MANCHESTER MOBILE HEALTH FAIR
  • Facility Address: 210 MARIE LANGDON DRIVE
    MANCHESTER, KY
    ZIP 40962
  • Facility Phone: 606 598-5104
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: MS. MICHELLE REED
  • NPI Number: 1255471827
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1090919
LAB Type Health Fair
Facility Name ADVENTHEALTH MANCHESTER MOBILE HEALTH FAIR
Street 210 MARIE LANGDON DRIVE
City MANCHESTER
State KY
ZIP 40962
Phone 606 598-5104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Health Fair
Lab Director MS. MICHELLE REED

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