18D2078976 CLIA NUMBER - KIMBERLY MOSLEY APRN

Laboratory Demographics

  • CLIA Code: 18D2078976
  • Facility Name: KIMBERLY MOSLEY APRN
  • Facility Address: 1941 BISHOP LANE, STE 506
    LOUISVILLE, KY
    ZIP 40218
  • Facility Phone: 502 432-6586
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. KIMBERLY MOSLEY
  • NPI Number: 1760802961
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 18D2078976
LAB Type Practitioner Other
Facility Name KIMBERLY MOSLEY APRN
Street 1941 BISHOP LANE, STE 506
City LOUISVILLE
State KY
ZIP 40218
Phone 502 432-6586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Practitioner Other
Lab Director MS. KIMBERLY MOSLEY

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