18D0687313 CLIA NUMBER - VITAL SKIN MEDICAL GROUP, PLC -DBA LOUISVILLE DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 18D0687313
  • Facility Name: VITAL SKIN MEDICAL GROUP, PLC -DBA LOUISVILLE DERMATOLOGY
  • Facility Address: 13802 LAKE POINT CIRCLE, SUITE 101
    LOUISVILLE, KY
    ZIP 40223
  • Facility Phone: 502 245-4450
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SCOTT L. ZAHNER
  • NPI Number: 1386619203
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 18D0687313
LAB Type Physician Office
Facility Name VITAL SKIN MEDICAL GROUP, PLC -DBA LOUISVILLE DERMATOLOGY
Street 13802 LAKE POINT CIRCLE, SUITE 101
City LOUISVILLE
State KY
ZIP 40223
Phone 502 245-4450
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 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director DR. SCOTT L. ZAHNER

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