18D2003012 CLIA NUMBER - BRECKINRIDGE SERVICES, INC DBA BRECKINRIDGE PLACE

Laboratory Demographics

  • CLIA Code: 18D2003012
  • Facility Name: BRECKINRIDGE SERVICES, INC DBA BRECKINRIDGE PLACE
  • Facility Address: 170 SYKES BLVD
    MORGANFIELD, KY
    ZIP 42437
  • Facility Phone: 270 389-1133
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. KELSEY MONGOSA
  • NPI Number: 1073847729
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2003012
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRECKINRIDGE SERVICES, INC DBA BRECKINRIDGE PLACE
Street 170 SYKES BLVD
City MORGANFIELD
State KY
ZIP 42437
Phone 270 389-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. KELSEY MONGOSA

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