Organization Active NPI

Appalachian Wellness Laboratory Services

  • Clinical Medical Laboratory
  • Campton, KY
National Provider Identifier
1073488896
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
APPALACHIAN WELLNESS LABORATORY SERVICES
Practice address
592 Ky 15 S Ste 3
Campton, KY 41301-9552
Phone
(606) 668-7393
NPI assigned
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheri Rose HaasNPI 1518390723
Title
Owner
Phone
(606) 668-7393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

592 Ky 15 S Ste 3
Campton, KY 41301-9552

Mailing address

PO Box 1136
Campton, KY 41301-1136
Phone (606) 668-7393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260421002063 KY Part B Supplier - Independent Clinical Laboratory 4183190788 Practice locations: Campton, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2120820Appalachian Wellness, LLC592 Ky 15 South, Campton, KY 41301ComplianceNov 21, 2027
18D2325153Appalachian Wellness Laboratory Services, LLC592 Ky 15 South, Ste 3, Campton, KY 41301RegistrationJun 8, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1073488896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413011136",
            "telephone_number": "606-668-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 KY 15 S STE 3",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413019552",
            "telephone_number": "606-668-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN WELLNESS LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "ROSE HAAS",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-668-7393"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.