18D1014403 CLIA NUMBER - KALEIDOSCOPE INC

Laboratory Demographics

  • CLIA Code: 18D1014403
  • Facility Name: KALEIDOSCOPE INC
  • Facility Address: 10330 BUNSEN WAY
    LOUISVILLE, KY
    ZIP 40299
  • Facility Phone: 502 495-1662
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MS. TRACY RUTH
  • NPI Number: 1376611129
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1014403
LAB Type Other
Facility Name KALEIDOSCOPE INC
Street 10330 BUNSEN WAY
City LOUISVILLE
State KY
ZIP 40299
Phone 502 495-1662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Other
Lab Director MS. TRACY RUTH

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