CLIA lab
CLIA 18D0979196: Grand Lakes Clinic
Grand Rivers, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D0979196 belongs to Grand Lakes Clinic in Grand Rivers, KY.
Certificate for Provider-Performed Microscopy Procedures, effective April 21, 2025, expires April 20, 2027.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 17, 2000
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 18D0979196
- Lab name
- Grand Lakes Clinic
- Address
- 1860 J H O'bryan Ave, Grand Rivers, KY 42045
- Phone
- (270) 362-8246
- Fax
- (270) 362-9757
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Grand Lakes Clinic in Grand Rivers?
18D0979196, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Lakes Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 18D0979196 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.