18D2099537 CLIA NUMBER - ISAIAH HOUSE INC

Laboratory Demographics

  • CLIA Code: 18D2099537
  • Facility Name: ISAIAH HOUSE INC
  • Facility Address: 2042 MAIN STREET
    WILLISBURG, KY
    ZIP 40078
  • Facility Phone: 859 375-9200
  • Facility Type: Other - RESIDENT RECOVER CENTER
  • Facility Type: Waiver
  • Lab Director: MR. NICK WREN
  • NPI Number: 1952939217
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2099537
LAB Type Other - RESIDENT RECOVER CENTER
Facility Name ISAIAH HOUSE INC
Street 2042 MAIN STREET
City WILLISBURG
State KY
ZIP 40078
Phone 859 375-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Other - RESIDENT RECOVER CENTER
Lab Director MR. NICK WREN

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