18D0683119 CLIA NUMBER - ST ELIZABETH CENTER FOR FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 18D0683119
  • Facility Name: ST ELIZABETH CENTER FOR FAMILY MEDICINE
  • Facility Address: 413 SOUTH LOOP ROAD
    EDGEWOOD, KY
    ZIP 41017
  • Facility Phone: 859 301-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. KARL SCHMITT
  • NPI Number: 1851734933
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 18D0683119
LAB Type Physician Office
Facility Name ST ELIZABETH CENTER FOR FAMILY MEDICINE
Street 413 SOUTH LOOP ROAD
City EDGEWOOD
State KY
ZIP 41017
Phone 859 301-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director MR. KARL SCHMITT

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