18D2055462 CLIA NUMBER - CPO PSC, DR LAWRENCE PETERS MD

Laboratory Demographics

  • CLIA Code: 18D2055462
  • Facility Name: CPO PSC, DR LAWRENCE PETERS MD
  • Facility Address: 4402 CHURCHMAN AVENUE, SUITE 404
    LOUISVILLE, KY
    ZIP 40215
  • Facility Phone: 502 366-0970
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: LAWRENCE PETERS
  • NPI Number: 1720090525
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2055462
LAB Type Physician Office
Facility Name CPO PSC, DR LAWRENCE PETERS MD
Street 4402 CHURCHMAN AVENUE, SUITE 404
City LOUISVILLE
State KY
ZIP 40215
Phone 502 366-0970
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director LAWRENCE PETERS

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