18D0321627 CLIA NUMBER - FAMILY HEALTH CENTERS - IROQUOIS

Laboratory Demographics

  • CLIA Code: 18D0321627
  • Facility Name: FAMILY HEALTH CENTERS - IROQUOIS
  • Facility Address: 4100 TAYLOR BLVD
    LOUISVILLE, KY
    ZIP 40215
  • Facility Phone: 502 774-8631
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. MIRANDA COOLE
  • NPI Number: 1356394670
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0321627
LAB Type Community Clinic
Facility Name FAMILY HEALTH CENTERS - IROQUOIS
Street 4100 TAYLOR BLVD
City LOUISVILLE
State KY
ZIP 40215
Phone 502 774-8631
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Community Clinic
Lab Director DR. MIRANDA COOLE

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This page was last updated on: 6/4/2025