18D2028293 CLIA NUMBER - SHELBYVILLE ROAD DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D2028293
  • Facility Name: SHELBYVILLE ROAD DIALYSIS
  • Facility Address: 4600 SHELBYVILLE ROAD, SUITE 310
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 893-4791
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MUAD MAYA
  • NPI Number: 1497048342
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2028293
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SHELBYVILLE ROAD DIALYSIS
Street 4600 SHELBYVILLE ROAD, SUITE 310
City LOUISVILLE
State KY
ZIP 40207
Phone 502 893-4791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MUAD MAYA

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