18D2116950 CLIA NUMBER - LYDIA'S HOUSE

Laboratory Demographics

  • CLIA Code: 18D2116950
  • Facility Name: LYDIA'S HOUSE
  • Facility Address: 185 MAGGARD ST
    BENHAM, KY
    ZIP 40807
  • Facility Phone: 606 638-0938
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: MR. TIM ROBINSON
  • NPI Number: 1669024303
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2116950
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name LYDIA'S HOUSE
Street 185 MAGGARD ST
City BENHAM
State KY
ZIP 40807
Phone 606 638-0938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director MR. TIM ROBINSON

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