18D2188163 CLIA NUMBER - SUNRISE CHILDREN'S SERVICES LAKES AND RIVERS FOSTER CARE - PADUCAH

Laboratory Demographics

  • CLIA Code: 18D2188163
  • Facility Name: SUNRISE CHILDREN'S SERVICES LAKES AND RIVERS FOSTER CARE - PADUCAH
  • Facility Address: 3565 LONE OAD ROAD, STE 2
    PADUCAH, KY
    ZIP 42003
  • Facility Phone: 270 554-3714
  • Facility Type: Other - FOSTER CARE PROGRAM
  • Facility Type: Waiver
  • Lab Director: MS. HOLLY HEDGES
  • NPI Number: 1699189308
  • Taxonomy: 253J00000X - Foster Care Agency

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CLIA Record

Field Name Field Value
CLIA Number 18D2188163
LAB Type Other - FOSTER CARE PROGRAM
Facility Name SUNRISE CHILDREN'S SERVICES LAKES AND RIVERS FOSTER CARE - PADUCAH
Street 3565 LONE OAD ROAD, STE 2
City PADUCAH
State KY
ZIP 42003
Phone 270 554-3714
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