18D0977949 CLIA NUMBER - LOUISVILLE METRO DEPARTMENT OF CORRECTIONS

Laboratory Demographics

CLIA Number: 18D0977949

Facility Name: LOUISVILLE METRO DEPARTMENT OF CORRECTIONS

Facility Address:
400 SOUTH SIXTH STREET
LOUISVILLE, KY
ZIP 40202
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Facility Phone Number: 502 574-2080

Facility Type: Other - DEPT OF CORRECTIONS

Certificate Type: Waiver

NPI Number: 1477688802

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	18D0977949
LAB Type	Other - DEPT OF CORRECTIONS
Facility Name	LOUISVILLE METRO DEPARTMENT OF CORRECTIONS
Street	400 SOUTH SIXTH STREET
City	LOUISVILLE
State	KY
ZIP	40202
Phone	502 574-2080
CertificateType	4
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	Waiver

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