18D2310831 CLIA NUMBER - VIA DOLOROSA RECOVERY

Laboratory Demographics

  • CLIA Code: 18D2310831
  • Facility Name: VIA DOLOROSA RECOVERY
  • Facility Address: 55 RODEO DRIVE
    MOREHEAD, KY
    ZIP 40351
  • Facility Phone: 606 784-1142
  • Facility Type: Other - RESIDENTIAL/OUTPATIENT S
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER C. MULLINS
  • NPI Number: 1750100384
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2310831
LAB Type Other - RESIDENTIAL/OUTPATIENT S
Facility Name VIA DOLOROSA RECOVERY
Street 55 RODEO DRIVE
City MOREHEAD
State KY
ZIP 40351
Phone 606 784-1142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Other - RESIDENTIAL/OUTPATIENT S
Lab Director CHRISTOPHER C. MULLINS

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