CLIA lab
CLIA 18D1011482: Raven Rock Dialysis
Jenkins, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D1011482 belongs to Raven Rock Dialysis in Jenkins, KY.
Certificate of Waiver, effective April 11, 2025, expires April 10, 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 of Waiver
- Certificate effective
- April 11, 2025
- Certificate expiration
- April 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 2003
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- 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
- 18D1011482
- Lab name
- Raven Rock Dialysis
- Address
- 483 Gateway Industrial Parkway, Jenkins, KY 41537
- Phone
- (606) 633-3232
- Fax
- (606) 633-4646
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jenkins, KY
- Jenkins Family Clinic LLCCertificate of Waiver, Physician office18D2048026
- Jenkins Family Clinic, A Department ofCertificate of Waiver, Community clinic18D0713120
- Mountain Comprehensive Care Center -Certificate of Waiver, Federally qualified health center18D2228283
- Vitality Wellness Institute, LLCCertificate of Waiver, Physician office18D2288305
Related
Questions
What is the CLIA number for Raven Rock Dialysis in Jenkins?
18D1011482, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Raven Rock Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D1011482 expire?
The CMS file lists April 10, 2027 as the certificate expiration date; the certificate took effect April 11, 2025.