18D0720227 CLIA NUMBER - DUPONT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 18D0720227
  • Facility Name: DUPONT SURGERY CENTER
  • Facility Address: 4004 DUPONT CIRCLE
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 896-6428
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MR. RICHARD BONENFANT
  • NPI Number: 1669474748
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0720227
LAB Type Ambulatory Surgery Center
Facility Name DUPONT SURGERY CENTER
Street 4004 DUPONT CIRCLE
City LOUISVILLE
State KY
ZIP 40207
Phone 502 896-6428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director MR. RICHARD BONENFANT

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