18D0976135 CLIA NUMBER - PARK LOUISVILLE

Laboratory Demographics

CLIA Number: 18D0976135

Facility Name: PARK LOUISVILLE

Facility Address:
10451 LINN STATION RD
LOUISVILLE, KY
ZIP 40223
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Facility Phone Number: 502 423-8776

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1063884260

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	18D0976135
LAB Type	Other
Facility Name	PARK LOUISVILLE
Street	10451 LINN STATION RD
City	LOUISVILLE
State	KY
ZIP	40223
Phone	502 423-8776
CertificateType	4
CertificateEffectiveDate	7/26/2022
CertificateExpirationDate	7/25/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024