18D0989430 CLIA NUMBER - ST ELIZABETH PHYSICIANS CRESTVIEW HILLS INTERNAL MEDICINE AND PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D0989430
  • Facility Name: ST ELIZABETH PHYSICIANS CRESTVIEW HILLS INTERNAL MEDICINE AND PEDIATRICS
  • Facility Address: 334 THOMAS MORE PKWY SUITE 200
    CRESTVIEW HILLS, KY
    ZIP 41017
  • Facility Phone: 859 578-3400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DONALD L. PRICE
  • NPI Number: 1598197691
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0989430
LAB Type Physician Office
Facility Name ST ELIZABETH PHYSICIANS CRESTVIEW HILLS INTERNAL MEDICINE AND PEDIATRICS
Street 334 THOMAS MORE PKWY SUITE 200
City CRESTVIEW HILLS
State KY
ZIP 41017
Phone 859 578-3400
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 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director DR. DONALD L. PRICE

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