18D0677323 CLIA NUMBER - FAMILY HEALTH CENTERS PORTLAND

Laboratory Demographics

CLIA Number: 18D0677323

Facility Name: FAMILY HEALTH CENTERS PORTLAND

Facility Address:
2215 PORTLAND AVENUE
LOUISVILLE, KY
ZIP 40212
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Facility Phone Number: 502 774-8631

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1982789459

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	18D0677323
LAB Type	Community Clinic
Facility Name	FAMILY HEALTH CENTERS PORTLAND
Street	2215 PORTLAND AVENUE
City	LOUISVILLE
State	KY
ZIP	40212
Phone	502 774-8631
CertificateType	1
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024