18D2074673 CLIA NUMBER - ST MATTHEWS COMMUNITY PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2074673
  • Facility Name: ST MATTHEWS COMMUNITY PHARMACY
  • Facility Address: 200 N HURSTBOURNE PKWY, SUITE 174
    LOUISVILLE, KY
    ZIP 40222
  • Facility Phone: 502 690-4462
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. LINDSEY HOEHN
  • NPI Number: 1699319814
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2074673
LAB Type Pharmacy
Facility Name ST MATTHEWS COMMUNITY PHARMACY
Street 200 N HURSTBOURNE PKWY, SUITE 174
City LOUISVILLE
State KY
ZIP 40222
Phone 502 690-4462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Pharmacy
Lab Director MS. LINDSEY HOEHN

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