18D2287868 CLIA NUMBER - COMMUNITY ADDICTION RECOVERY

Laboratory Demographics

  • CLIA Code: 18D2287868
  • Facility Name: COMMUNITY ADDICTION RECOVERY
  • Facility Address: 436 SOUTH MAIN STREET
    STANTON, KY
    ZIP 40380
  • Facility Phone: 606 663-7597
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: DR. TAUFIK KASSIS
  • NPI Number: 1356022693
  • Taxonomy: 2083A0300X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2287868
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name COMMUNITY ADDICTION RECOVERY
Street 436 SOUTH MAIN STREET
City STANTON
State KY
ZIP 40380
Phone 606 663-7597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director DR. TAUFIK KASSIS

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