18D2248489 CLIA NUMBER - ELIVATE WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 18D2248489
  • Facility Name: ELIVATE WELLNESS LLC
  • Facility Address: 1707 CEDAR GROVE RD
    SHEPHERDSVILLE, KY
    ZIP 40165
  • Facility Phone: 502 338-2561
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MS. OLIVIA J. STIVERS
  • NPI Number: 1457006660
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2248489
LAB Type Independent
Facility Name ELIVATE WELLNESS LLC
Street 1707 CEDAR GROVE RD
City SHEPHERDSVILLE
State KY
ZIP 40165
Phone 502 338-2561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Independent
Lab Director MS. OLIVIA J. STIVERS

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