18D0671051 CLIA NUMBER - CENTRAL STATE HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 18D0671051
  • Facility Name: CENTRAL STATE HOSPITAL LABORATORY
  • Facility Address: 10510 LAGRANGE ROAD
    LOUISVILLE, KY
    ZIP 40223
  • Facility Phone: 502 245-4121
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. SARWAT MIAN
  • NPI Number: 1366447609
  • Taxonomy: 283Q00000X - Psychiatric Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D0671051
LAB Type Other
Facility Name CENTRAL STATE HOSPITAL LABORATORY
Street 10510 LAGRANGE ROAD
City LOUISVILLE
State KY
ZIP 40223
Phone 502 245-4121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Other
Lab Director DR. SARWAT MIAN

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: 9/29/2025