18D0944277 CLIA NUMBER - U OF L FAMILY MEDICINE - MEH

Laboratory Demographics

  • CLIA Code: 18D0944277
  • Facility Name: U OF L FAMILY MEDICINE - MEH
  • Facility Address: 4402 CHURCHMAN AVENUE, SUITE 410
    LOUISVILLE, KY
    ZIP 40215
  • Facility Phone: 502 588-8744
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LUCY FERNANDEZ
  • NPI Number: 1902862857
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0944277
LAB Type Physician Office
Facility Name U OF L FAMILY MEDICINE - MEH
Street 4402 CHURCHMAN AVENUE, SUITE 410
City LOUISVILLE
State KY
ZIP 40215
Phone 502 588-8744
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 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director DR. LUCY FERNANDEZ

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