18D2059446 CLIA NUMBER - SUSAN B TATE MD PA DBA TATE INSTITUTE FOR FEMALE PELVIC HEALTH

Laboratory Demographics

  • CLIA Code: 18D2059446
  • Facility Name: SUSAN B TATE MD PA DBA TATE INSTITUTE FOR FEMALE PELVIC HEALTH
  • Facility Address: 2934 BRECKENRIDGE LANE, SUITE 2 ATT CHRIS GARDNER
    LOUISVILLE, KY
    ZIP 40220
  • Facility Phone: 502 454-7871
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN TATE
  • NPI Number: 1811913585
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 18D2059446
LAB Type Physician Office
Facility Name SUSAN B TATE MD PA DBA TATE INSTITUTE FOR FEMALE PELVIC HEALTH
Street 2934 BRECKENRIDGE LANE, SUITE 2 ATT CHRIS GARDNER
City LOUISVILLE
State KY
ZIP 40220
Phone 502 454-7871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director SUSAN TATE

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