18D0321580 CLIA NUMBER - LP LOUISVILLE SOUTH, LLC DBA SIGNATURE HEALTHCARE OF SOUTH LOUISVILLE

Laboratory Demographics

  • CLIA Code: 18D0321580
  • Facility Name: LP LOUISVILLE SOUTH, LLC DBA SIGNATURE HEALTHCARE OF SOUTH LOUISVILLE
  • Facility Address: 1120 CRISTLAND RD
    LOUISVILLE, KY
    ZIP 40214
  • Facility Phone: 502 367-0104
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NAKLESA BROCK
  • NPI Number: 1891986170
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D0321580
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP LOUISVILLE SOUTH, LLC DBA SIGNATURE HEALTHCARE OF SOUTH LOUISVILLE
Street 1120 CRISTLAND RD
City LOUISVILLE
State KY
ZIP 40214
Phone 502 367-0104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NAKLESA BROCK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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