18D1063306 CLIA NUMBER - ADVANCED ENT & ALLERGY

Laboratory Demographics

  • CLIA Code: 18D1063306
  • Facility Name: ADVANCED ENT & ALLERGY
  • Facility Address: 2944 BRECKINRIDGE LANE
    LOUISVILLE, KY
    ZIP 40220
  • Facility Phone: 502 399-1874
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW GOULD
  • NPI Number: 1780817502
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 18D1063306
LAB Type Physician Office
Facility Name ADVANCED ENT & ALLERGY
Street 2944 BRECKINRIDGE LANE
City LOUISVILLE
State KY
ZIP 40220
Phone 502 399-1874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director DR. ANDREW GOULD

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