Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
18D1069964
|
|
Clinical laboratory number
|
|
Lab Name
|
VITAL SKIN MEDICAL GROUP PLLC - DBA LOUISVILLE
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
502-743-4112
|
|
Laboratory telephone number
|
|
Fax
|
502-585-5251
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1023 SANIBEL WAY
|
|
Primary location adress line
|
|
City
|
LA GRANGE
|
|
Primary location city name
|
|
State
|
KY
|
|
Primary location state name
|
|
Zip
|
40031
|
|
Primary location postal code
|