18D1048174 CLIA NUMBER - FERTILITY AND ENDOCRINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 18D1048174
  • Facility Name: FERTILITY AND ENDOCRINE ASSOCIATES
  • Facility Address: 4121 DUTCHMANS LANE, SUITE 414
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 897-2144
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT HOMM, MD
  • NPI Number: 1770628927
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 18D1048174
LAB Type Physician Office
Facility Name FERTILITY AND ENDOCRINE ASSOCIATES
Street 4121 DUTCHMANS LANE, SUITE 414
City LOUISVILLE
State KY
ZIP 40207
Phone 502 897-2144
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 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director ROBERT HOMM, MD

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