18D1077225 CLIA NUMBER - BAPTIST URGENT CARE - MIDDLETOWN

Laboratory Demographics

  • CLIA Code: 18D1077225
  • Facility Name: BAPTIST URGENT CARE - MIDDLETOWN
  • Facility Address: 12010 SHELBYVILLE ROAD SUITE 500
    LOUISVILLE, KY
    ZIP 40243
  • Facility Phone: 502 238-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURAJ GATHANI MD
  • NPI Number: 1659675403
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D1077225
LAB Type Physician Office
Facility Name BAPTIST URGENT CARE - MIDDLETOWN
Street 12010 SHELBYVILLE ROAD SUITE 500
City LOUISVILLE
State KY
ZIP 40243
Phone 502 238-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director SURAJ GATHANI MD

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