CLIA lab
CLIA 18D2030604: Premise Health of Kentucky Medical, PSC
Berea, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2030604 belongs to Premise Health of Kentucky Medical, PSC in Berea, KY.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2011
- Facility type
- Physician office
- 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
- 18D2030604
- Lab name
- Premise Health of Kentucky Medical, PSC
- Address
- 2200 Menelaus Rd, Berea, KY 40403
- Phone
- (859) 228-1568
- Fax
- (859) 228-1567
Annual test volume the lab reported
- Waived tests
- 550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Berea, KY
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- BHG Xxxv, LLC DBA BHG Berea Treatment CenterCertificate of Waiver, Other18D2130951
- Berea Clinic of Internal MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office18D0322691
- Berea College Health and WellnessCertificate of Waiver, Other18D2102701
- Berea Community SchoolCertificate of Waiver, Federally qualified health center18D2063411
- Berea Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility18D0892103
- Berea PediatricsCertificate of Waiver, Federally qualified health center18D2325354
- Berea Primary CareCertificate of Waiver, Federally qualified health center18D0936122
- Berea Urgent CareCertificate of Waiver, Physician office18D1046850
- Berea Walk-In ClinicCertificate of Waiver, Rural health clinic18D2077904
Related
Questions
What is the CLIA number for Premise Health of Kentucky Medical, PSC in Berea?
18D2030604, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Kentucky Medical, PSC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2030604 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.