CLIA lab

CLIA 18D0890483: Henderson Manor I LLC

Henderson, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 18D0890483 belongs to Henderson Manor I LLC in Henderson, KY.

Certificate of Waiver, effective August 19, 2026, expires August 18, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 19, 2026
Certificate expiration
August 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 19, 1994
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
18D0890483
Lab name
Henderson Manor I LLC
Address
201 Watson Lane, Henderson, KY 42420
Phone
(917) 558-7558

Annual test volume the lab reported

Waived tests
160

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Henderson, KY

Related

Questions

What is the CLIA number for Henderson Manor I LLC in Henderson?

18D0890483, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Henderson Manor I LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 18D0890483 expire?

The CMS file lists August 18, 2028 as the certificate expiration date; the certificate took effect August 19, 2026.

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