18D0914778 CLIA NUMBER - ACTIVE DAY OF HIKES POINT

Laboratory Demographics

  • CLIA Code: 18D0914778
  • Facility Name: ACTIVE DAY OF HIKES POINT
  • Facility Address: 3403 BRECKENRIDGE LANE
    LOUISVILLE, KY
    ZIP 40220
  • Facility Phone: 502 896-1444
  • Facility Type: Other - ADHC
  • Facility Type: Waiver
  • Lab Director: MS. TIFFANY K. MONTGOMERY
  • NPI Number: 1962653964
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0914778
LAB Type Other - ADHC
Facility Name ACTIVE DAY OF HIKES POINT
Street 3403 BRECKENRIDGE LANE
City LOUISVILLE
State KY
ZIP 40220
Phone 502 896-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Other - ADHC
Lab Director MS. TIFFANY K. MONTGOMERY

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