18D1093404 CLIA NUMBER - KENTUCKY LV, LLC D/B/A COMMONWEALTH HOME HEALTH

Laboratory Demographics

  • CLIA Code: 18D1093404
  • Facility Name: KENTUCKY LV, LLC D/B/A COMMONWEALTH HOME HEALTH
  • Facility Address: 1001 GIBSON BAY DRIVE, SUITE 102
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: 859 623-1075
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MS. CHARLOTTE CHANEY
  • NPI Number: 1972929321
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D1093404
LAB Type Home Health Agency
Facility Name KENTUCKY LV, LLC D/B/A COMMONWEALTH HOME HEALTH
Street 1001 GIBSON BAY DRIVE, SUITE 102
City RICHMOND
State KY
ZIP 40475
Phone 859 623-1075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Home Health Agency
Lab Director MS. CHARLOTTE CHANEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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