18D1013915 CLIA NUMBER - UNIVERSITY OF LOUISVILLE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 18D1013915
  • Facility Name: UNIVERSITY OF LOUISVILLE DIALYSIS CENTER
  • Facility Address: 614 EAST CHESTNUT STREET
    LOUISVILLE, KY
    ZIP 40202
  • Facility Phone: 502 589-5997
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALFRED A. JACOBS
  • NPI Number: 1972865038
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1013915
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNIVERSITY OF LOUISVILLE DIALYSIS CENTER
Street 614 EAST CHESTNUT STREET
City LOUISVILLE
State KY
ZIP 40202
Phone 502 589-5997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALFRED A. JACOBS

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