18D2207352 CLIA NUMBER - MCCREADY MANOR

Laboratory Demographics

  • CLIA Code: 18D2207352
  • Facility Name: MCCREADY MANOR
  • Facility Address: 300 STOCKER DRIVE
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: 859 625-1400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MR. GILBERT S. SHEW
  • NPI Number: 1942607593
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 18D2207352
LAB Type Assisted Living Facility
Facility Name MCCREADY MANOR
Street 300 STOCKER DRIVE
City RICHMOND
State KY
ZIP 40475
Phone 859 625-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Assisted Living Facility
Lab Director MR. GILBERT S. SHEW

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