18D2267821 CLIA NUMBER - SUNRISE CHILDREN'S CUMBERLAND FOSTER CARE - MANCHESTER

Laboratory Demographics

  • CLIA Code: 18D2267821
  • Facility Name: SUNRISE CHILDREN'S CUMBERLAND FOSTER CARE - MANCHESTER
  • Facility Address: 90 GARRARD SQUARE
    MANCHESTER, KY
    ZIP 40962
  • Facility Phone: 502 538-1000
  • Facility Type: Other - FOSTER CARE PROGRAM
  • Facility Type: Waiver
  • Lab Director: MS. HOLLY M. HEDGES
  • NPI Number: 1467633107
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2267821
LAB Type Other - FOSTER CARE PROGRAM
Facility Name SUNRISE CHILDREN'S CUMBERLAND FOSTER CARE - MANCHESTER
Street 90 GARRARD SQUARE
City MANCHESTER
State KY
ZIP 40962
Phone 502 538-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - FOSTER CARE PROGRAM
Lab Director MS. HOLLY M. HEDGES

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