18D2308094 CLIA NUMBER - 4TH DIMENSION TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 18D2308094
  • Facility Name: 4TH DIMENSION TREATMENT CENTER
  • Facility Address: 152 HWY 990
    COALGOOD, KY
    ZIP 40818
  • Facility Phone: 606 273-2134
  • Facility Type: Other - SUD TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: MR. JENNIFER WITT
  • NPI Number: 1184468183
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2308094
LAB Type Other - SUD TREATMENT CENTER
Facility Name 4TH DIMENSION TREATMENT CENTER
Street 152 HWY 990
City COALGOOD
State KY
ZIP 40818
Phone 606 273-2134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Other - SUD TREATMENT CENTER
Lab Director MR. JENNIFER WITT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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