18D0946700 CLIA NUMBER - PHYSICIAN'S SKIN CARE, PLLC

Laboratory Demographics

  • CLIA Code: 18D0946700
  • Facility Name: PHYSICIAN'S SKIN CARE, PLLC
  • Facility Address: 1169 EASTERN PARKWAY 2310
    LOUISVILLE, KY
    ZIP 40217
  • Facility Phone: 502 451-5000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LEON KIRCIK
  • NPI Number: 1760576599
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 18D0946700
LAB Type Physician Office
Facility Name PHYSICIAN'S SKIN CARE, PLLC
Street 1169 EASTERN PARKWAY 2310
City LOUISVILLE
State KY
ZIP 40217
Phone 502 451-5000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director DR. LEON KIRCIK

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