18D2116992 CLIA NUMBER - EMERALD TRACE

Laboratory Demographics

  • CLIA Code: 18D2116992
  • Facility Name: EMERALD TRACE
  • Facility Address: 3802 TURKEYFOOT ROAD ATTN RENE JAMISON
    ELSMERE, KY
    ZIP 41018
  • Facility Phone: 859 342-0200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. TINA MARTIN
  • NPI Number: 1518413889
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2116992
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EMERALD TRACE
Street 3802 TURKEYFOOT ROAD ATTN RENE JAMISON
City ELSMERE
State KY
ZIP 41018
Phone 859 342-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. TINA MARTIN

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