18D2188162 CLIA NUMBER - SUNRISE CHILDREN'S SERVICES JEFFERSON TRAIL FOSTER CARE - ELIZABETHTOWN

Laboratory Demographics

  • CLIA Code: 18D2188162
  • Facility Name: SUNRISE CHILDREN'S SERVICES JEFFERSON TRAIL FOSTER CARE - ELIZABETHTOWN
  • Facility Address: 333 WEST DIXIE AVENUE
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 270 769-6841
  • Facility Type: Other - FOSTER CARE PROGRAM
  • Facility Type: Waiver
  • Lab Director: MS. HOLLY HEDGES
  • NPI Number: 1164867586
  • Taxonomy: 253J00000X - Foster Care Agency

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CLIA Record

Field Name Field Value
CLIA Number 18D2188162
LAB Type Other - FOSTER CARE PROGRAM
Facility Name SUNRISE CHILDREN'S SERVICES JEFFERSON TRAIL FOSTER CARE - ELIZABETHTOWN
Street 333 WEST DIXIE AVENUE
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 270 769-6841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Other - FOSTER CARE PROGRAM
Lab Director MS. HOLLY HEDGES

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