18D0723432 CLIA NUMBER - BHMG PC STONYBROOK

Laboratory Demographics

  • CLIA Code: 18D0723432
  • Facility Name: BHMG PC STONYBROOK
  • Facility Address: 2831 SOUTH HURSTBOURNE PARKWAY SUITE B
    LOUISVILLE, KY
    ZIP 40220
  • Facility Phone: 502 491-6963
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DENNIS A. SPARKS
  • NPI Number: 1629076153
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0723432
LAB Type Physician Office
Facility Name BHMG PC STONYBROOK
Street 2831 SOUTH HURSTBOURNE PARKWAY SUITE B
City LOUISVILLE
State KY
ZIP 40220
Phone 502 491-6963
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director DR. DENNIS A. SPARKS

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