CLIA lab

CLIA 18D2120669: Revive Life House

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

CLIA number 18D2120669 belongs to Revive Life House in Nicholasville, KY.

Certificate of Waiver, effective October 21, 2026, expires October 20, 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
October 21, 2026
Certificate expiration
October 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 21, 2016
Facility type
Other
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
18D2120669
Lab name
Revive Life House
Address
111 Coconut Grove, Nicholasville, KY 40356
Phone
(859) 241-5152
Fax
(859) 241-1483

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Nicholasville, KY

Related

Questions

What is the CLIA number for Revive Life House in Nicholasville?

18D2120669, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Revive Life House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 18D2120669 expire?

The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.

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