CLIA lab
CLIA 18D2109904: Cedar Lake-Sycamore Run #1
La Grange, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2109904 belongs to Cedar Lake-Sycamore Run #1 in La Grange, KY.
Certificate of Waiver, effective March 4, 2026, expires March 3, 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
- March 4, 2026
- Certificate expiration
- March 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2016
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Private
- 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
- 18D2109904
- Lab name
- Cedar Lake-Sycamore Run #1
- Address
- 4804 Sycamore Ridge Lane, La Grange, KY 40031
- Phone
- (502) 225-0671
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in La Grange, KY
- Baptist Health La GrangeCertificate of Compliance, Hospital18D2011137
- Baptist Health La GrangeCertificate of Waiver, Ancillary test site18D2126548
- Baptist Health Lagrange CBC GroupCertificate of Waiver, Physician office18D2141046
- Baptist Health Medical Group /Certificate of Waiver, Physician office18D0965777
- Baptist Health Occupational MedicineCertificate of Waiver, Other18D0960055
- Baptist Health Urgent CareCertificate of Waiver, Other18D1026838
- Baptist Health, La GrangeCertificate of Accreditation, Hospital18D0030411
- Baptist Medical AssociatesCertificate of Waiver, Physician office18D2011145
- Bhmg Lagrange Family MedicineCertificate of Waiver, Physician office18D0954827
- Cedar Lake LodgeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities18D0684053
Related
Questions
What is the CLIA number for Cedar Lake-Sycamore Run #1 in La Grange?
18D2109904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cedar Lake-Sycamore Run #1 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2109904 expire?
The CMS file lists March 3, 2028 as the certificate expiration date; the certificate took effect March 4, 2026.