CLIA lab

CLIA 18D2166639: Premise Health of Kentucky Medical, PSC

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

CLIA number 18D2166639 belongs to Premise Health of Kentucky Medical, PSC in Georgetown, KY.

Certificate of Waiver, effective May 22, 2025, expires May 21, 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
May 22, 2025
Certificate expiration
May 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 22, 2019
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
18D2166639
Lab name
Premise Health of Kentucky Medical, PSC
Address
701 Cherry Blossom Way, Georgetown, KY 40324
Phone
(502) 867-4604
Fax
(310) 381-5272

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.

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Related

Questions

What is the CLIA number for Premise Health of Kentucky Medical, PSC in Georgetown?

18D2166639, 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 18D2166639 expire?

The CMS file lists May 21, 2027 as the certificate expiration date; the certificate took effect May 22, 2025.

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