18D2085247 CLIA NUMBER - PEARL MEDICAL PRACTICE, PLLC

Laboratory Demographics

  • CLIA Code: 18D2085247
  • Facility Name: PEARL MEDICAL PRACTICE, PLLC
  • Facility Address: 2202 BUECHEL AVE
    LOUISVILLE, KY
    ZIP 40218
  • Facility Phone: 502 456-0494
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JIYEON LEE
  • NPI Number: 1114261203
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2085247
LAB Type Physician Office
Facility Name PEARL MEDICAL PRACTICE, PLLC
Street 2202 BUECHEL AVE
City LOUISVILLE
State KY
ZIP 40218
Phone 502 456-0494
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director DR. JIYEON LEE

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