18D2193269 CLIA NUMBER - ISAIAH HOUSE, INC

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Laboratory Demographics

CLIA Number: 18D2193269

Facility Name: ISAIAH HOUSE, INC

Facility Address:
2084 MAIN STREET
WILLISBURG, KY
ZIP 40078
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Facility Phone Number: 859 375-9200

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1679232516

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	18D2193269
LAB Type	Physician Office
Facility Name	ISAIAH HOUSE, INC
Street	2084 MAIN STREET
City	WILLISBURG
State	KY
ZIP	40078
Phone	859 375-9200
CertificateType	1
CertificateEffectiveDate	9/27/2022
CertificateExpirationDate	9/26/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024