18D2080959 CLIA NUMBER - LEE SPECIALTY CLINIC

Laboratory Demographics

  • CLIA Code: 18D2080959
  • Facility Name: LEE SPECIALTY CLINIC
  • Facility Address: 4501 LOUISE UNDERWOOD WAY
    LOUISVILLE, KY
    ZIP 40216
  • Facility Phone: 502 368-2348
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: HENRY D. HOOD
  • NPI Number: 1023479250
  • Taxonomy: 224Z00000X - Occupational Therapy Assistant

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CLIA Record

Field Name Field Value
CLIA Number 18D2080959
LAB Type Public Health Laboratories
Facility Name LEE SPECIALTY CLINIC
Street 4501 LOUISE UNDERWOOD WAY
City LOUISVILLE
State KY
ZIP 40216
Phone 502 368-2348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Public Health Laboratories
Lab Director HENRY D. HOOD

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