18D2100005 CLIA NUMBER - SUNRISE CHILDREN'S SERVICES LAKES AND RIVERS FOSTER CARE MADISONVILLE

Laboratory Demographics

  • CLIA Code: 18D2100005
  • Facility Name: SUNRISE CHILDREN'S SERVICES LAKES AND RIVERS FOSTER CARE MADISONVILLE
  • Facility Address: 190 MADISON SQUARE DRIVE
    MADISONVILLE, KY
    ZIP 42431
  • Facility Phone: 502 538-1000
  • Facility Type: Other - FOSTERCARE
  • Facility Type: Waiver
  • Lab Director: MS. HOLLY M. HEDGES
  • NPI Number: 1881008597
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 18D2100005
LAB Type Other - FOSTERCARE
Facility Name SUNRISE CHILDREN'S SERVICES LAKES AND RIVERS FOSTER CARE MADISONVILLE
Street 190 MADISON SQUARE DRIVE
City MADISONVILLE
State KY
ZIP 42431
Phone 502 538-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Other - FOSTERCARE
Lab Director MS. HOLLY M. HEDGES

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