18D1022384 CLIA NUMBER - ROSENBERG REYES MD

Laboratory Demographics

  • CLIA Code: 18D1022384
  • Facility Name: ROSENBERG REYES MD
  • Facility Address: 320 WEST WOODLAWN AVENUE
    LOUISVILLE, KY
    ZIP 40214
  • Facility Phone: 502 368-2563
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROSENBERG A. REYES
  • NPI Number: 1861465254
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D1022384
LAB Type Physician Office
Facility Name ROSENBERG REYES MD
Street 320 WEST WOODLAWN AVENUE
City LOUISVILLE
State KY
ZIP 40214
Phone 502 368-2563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director DR. ROSENBERG A. REYES

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