18D2318427 CLIA NUMBER - STRUCTURE HOUSE RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 18D2318427
  • Facility Name: STRUCTURE HOUSE RECOVERY LLC
  • Facility Address: 318 W DIXIE ST
    LONDON, KY
    ZIP 40741
  • Facility Phone: 606 770-5024
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. JENNIFER D. WOODS
  • NPI Number: 1275406324
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 18D2318427
LAB Type Practitioner Other
Facility Name STRUCTURE HOUSE RECOVERY LLC
Street 318 W DIXIE ST
City LONDON
State KY
ZIP 40741
Phone 606 770-5024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Practitioner Other
Lab Director MS. JENNIFER D. WOODS

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