18D0030958 CLIA NUMBER - ST ELIZABETH EDGEWOOD LAB

Laboratory Demographics

  • CLIA Code: 18D0030958
  • Facility Name: ST ELIZABETH EDGEWOOD LAB
  • Facility Address: 1 MEDICAL VILLAGE DRIVE
    EDGEWOOD, KY
    ZIP 41017
  • Facility Phone: 859 301-2170
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. QING LU
  • NPI Number: 1811154388
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 18D0030958
LAB Type Hospital
Facility Name ST ELIZABETH EDGEWOOD LAB
Street 1 MEDICAL VILLAGE DRIVE
City EDGEWOOD
State KY
ZIP 41017
Phone 859 301-2170
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. QING LU

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This page was last updated on: 3/20/2025