18D0907834 CLIA NUMBER - DENNIS S GRAY, MD, PSC

Laboratory Demographics

  • CLIA Code: 18D0907834
  • Facility Name: DENNIS S GRAY, MD, PSC
  • Facility Address: 1169 EASTERN PARKWAY SUITE 1111
    LOUISVILLE, KY
    ZIP 40217
  • Facility Phone: (502) 456-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENNIS S. GRAY
  • NPI Number: 1194960682
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0907834
LAB Type Physician Office
Facility Name DENNIS S GRAY, MD, PSC
Street 1169 EASTERN PARKWAY SUITE 1111
City LOUISVILLE
State KY
ZIP 40217
Phone 5024564100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director DENNIS S. GRAY

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This page was last updated on: 5/18/2026