18D1086123 CLIA NUMBER - KIDNEY DISEASE CONSULTANTS

Laboratory Demographics

  • CLIA Code: 18D1086123
  • Facility Name: KIDNEY DISEASE CONSULTANTS
  • Facility Address: 47 CAVALER BLVD SUITE 120
    FLORENCE, KY
    ZIP 41042
  • Facility Phone: (859) 757-4353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEEPAK MITTAL
  • NPI Number: 1366163685
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D1086123
LAB Type Physician Office
Facility Name KIDNEY DISEASE CONSULTANTS
Street 47 CAVALER BLVD SUITE 120
City FLORENCE
State KY
ZIP 41042
Phone 8597574353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director DR. DEEPAK MITTAL

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This page was last updated on: 5/18/2026