18D0909463 CLIA NUMBER - CONCENTRA - FERN VALLEY

Laboratory Demographics

  • CLIA Code: 18D0909463
  • Facility Name: CONCENTRA - FERN VALLEY
  • Facility Address: 6129 AIRPORT HOTELS BLVD, SUITE 10
    LOUISVILLE, KY
    ZIP 40213
  • Facility Phone: 502 964-3688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL W. NEWKIRK
  • NPI Number: 1629568316
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0909463
LAB Type Physician Office
Facility Name CONCENTRA - FERN VALLEY
Street 6129 AIRPORT HOTELS BLVD, SUITE 10
City LOUISVILLE
State KY
ZIP 40213
Phone 502 964-3688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director DR. MICHAEL W. NEWKIRK

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