18D2227584 CLIA NUMBER - LICKING RIVER HOME TRAINING

Laboratory Demographics

  • CLIA Code: 18D2227584
  • Facility Name: LICKING RIVER HOME TRAINING
  • Facility Address: 140 PLAZA DR
    COLD SPRING, KY
    ZIP 41076
  • Facility Phone: 859 993-0244
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. RAKESH KUMAR
  • NPI Number: 1578143004
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2227584
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LICKING RIVER HOME TRAINING
Street 140 PLAZA DR
City COLD SPRING
State KY
ZIP 41076
Phone 859 993-0244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. RAKESH KUMAR

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