18D1080801 CLIA NUMBER - BARDSTOWN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D1080801
  • Facility Name: BARDSTOWN PEDIATRICS
  • Facility Address: 118 PATRIOT DR STE 204
    BARDSTOWN, KY
    ZIP 40004
  • Facility Phone: 270 300-3161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. YASIR SAIFULLAH
  • NPI Number: 1013443894
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 18D1080801
LAB Type Physician Office
Facility Name BARDSTOWN PEDIATRICS
Street 118 PATRIOT DR STE 204
City BARDSTOWN
State KY
ZIP 40004
Phone 270 300-3161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director DR. YASIR SAIFULLAH

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