18D2235238 CLIA NUMBER - LJKS LLC DBA DENOVA

Laboratory Demographics

  • CLIA Code: 18D2235238
  • Facility Name: LJKS LLC DBA DENOVA
  • Facility Address: 206 WAYNE DR
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: 859 309-2814
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MR. LOUIS HAIRSTON
  • NPI Number: 1194207910
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 18D2235238
LAB Type Practitioner Other
Facility Name LJKS LLC DBA DENOVA
Street 206 WAYNE DR
City RICHMOND
State KY
ZIP 40475
Phone 859 309-2814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Practitioner Other
Lab Director MR. LOUIS HAIRSTON

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