18D0964067 CLIA NUMBER - JOHN P OLIPHANT MD PLLC

Laboratory Demographics

  • CLIA Code: 18D0964067
  • Facility Name: JOHN P OLIPHANT MD PLLC
  • Facility Address: 3427 STONY SPRING CIRCLE
    LOUISVILLE, KY
    ZIP 40220
  • Facility Phone: 502 493-9994
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN P. OLIPHANT
  • NPI Number: 1194719831
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0964067
LAB Type Physician Office
Facility Name JOHN P OLIPHANT MD PLLC
Street 3427 STONY SPRING CIRCLE
City LOUISVILLE
State KY
ZIP 40220
Phone 502 493-9994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2023
Certificate Expiration Date 8/28/2025
Facility Type Physician Office
Lab Director JOHN P. OLIPHANT

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This page was last updated on: 3/20/2025