18D2060617 CLIA NUMBER - LOUISVILLE METRO GOVERNMENT EMPLOYEE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 18D2060617
  • Facility Name: LOUISVILLE METRO GOVERNMENT EMPLOYEE WELLNESS CENTER
  • Facility Address: 400 S 1ST STREET
    LOUISVILLE, KY
    ZIP 40202
  • Facility Phone: 502 574-2273
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL SUTKAMP
  • NPI Number: 1679908347
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2060617
LAB Type Physician Office
Facility Name LOUISVILLE METRO GOVERNMENT EMPLOYEE WELLNESS CENTER
Street 400 S 1ST STREET
City LOUISVILLE
State KY
ZIP 40202
Phone 502 574-2273
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director DR. MICHAEL SUTKAMP

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