18D2071287 CLIA NUMBER - LHCG XLVI, LLC DBA LIFELINE HOME HEALTH TOMPKINSVILLE

Laboratory Demographics

  • CLIA Code: 18D2071287
  • Facility Name: LHCG XLVI, LLC DBA LIFELINE HOME HEALTH TOMPKINSVILLE
  • Facility Address: 710 NORTH MAIN STREET
    TOMPKINSVILLE, KY
    ZIP 42167
  • Facility Phone: 270 487-5905
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMANDA L. ISENBERG
  • NPI Number: 1972933323
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 18D2071287
LAB Type Home Health Agency
Facility Name LHCG XLVI, LLC DBA LIFELINE HOME HEALTH TOMPKINSVILLE
Street 710 NORTH MAIN STREET
City TOMPKINSVILLE
State KY
ZIP 42167
Phone 270 487-5905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Home Health Agency
Lab Director AMANDA L. ISENBERG

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