18D2119895 CLIA NUMBER - CENTRAL KENTUCKY RECOVERY MGMT, LLC

Laboratory Demographics

  • CLIA Code: 18D2119895
  • Facility Name: CENTRAL KENTUCKY RECOVERY MGMT, LLC
  • Facility Address: 1094 US HWY 27 SOUTH SUITE A
    CYNTHIANA, KY
    ZIP 41031
  • Facility Phone: 859 569-3145
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: TRACY FRYMAN
  • NPI Number: 1619339736
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2119895
LAB Type Comp. Outpatient Rehab Facility
Facility Name CENTRAL KENTUCKY RECOVERY MGMT, LLC
Street 1094 US HWY 27 SOUTH SUITE A
City CYNTHIANA
State KY
ZIP 41031
Phone 859 569-3145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director TRACY FRYMAN

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