18D0677174 CLIA NUMBER - LOUISVILLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 18D0677174
  • Facility Name: LOUISVILLE DERMATOLOGY
  • Facility Address: 310 EAST BROADWAY SUITE 200
    LOUISVILLE, KY
    ZIP 40202
  • Facility Phone: 502 585-1263
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GEORGE B. SONNIER
  • NPI Number: 1235245754
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 18D0677174
LAB Type Physician Office
Facility Name LOUISVILLE DERMATOLOGY
Street 310 EAST BROADWAY SUITE 200
City LOUISVILLE
State KY
ZIP 40202
Phone 502 585-1263
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director DR. GEORGE B. SONNIER

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This page was last updated on: 9/29/2025