18D1098437 CLIA NUMBER - SHEPHERDSVILLE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 18D1098437
  • Facility Name: SHEPHERDSVILLE DIALYSIS CENTER
  • Facility Address: 150 BROOKS WAY STE 15
    BROOKS, KY
    ZIP 40109
  • Facility Phone: 502 955-2153
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DAVID FENDLEY
  • NPI Number: 1033355458
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1098437
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SHEPHERDSVILLE DIALYSIS CENTER
Street 150 BROOKS WAY STE 15
City BROOKS
State KY
ZIP 40109
Phone 502 955-2153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DAVID FENDLEY

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