18D2076979 CLIA NUMBER - ONE MD

Laboratory Demographics

  • CLIA Code: 18D2076979
  • Facility Name: ONE MD
  • Facility Address: 112 SEARS AVE
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 238-2163
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEANEAN T. MALUBAY
  • NPI Number: 1639594344
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2076979
LAB Type Physician Office
Facility Name ONE MD
Street 112 SEARS AVE
City LOUISVILLE
State KY
ZIP 40207
Phone 502 238-2163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director JEANEAN T. MALUBAY

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This page was last updated on: 6/4/2025