18D2098061 CLIA NUMBER - ELITE INTERNAL MEDICINE DBA PROSPECT INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 18D2098061
  • Facility Name: ELITE INTERNAL MEDICINE DBA PROSPECT INTERNAL MEDICINE
  • Facility Address: 10501 FISCHER PARK DRIVE
    LOUISVILLE, KY
    ZIP 40241
  • Facility Phone: 502 713-1332
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TINA T. YUAN
  • NPI Number: 1033597828
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2098061
LAB Type Physician Office
Facility Name ELITE INTERNAL MEDICINE DBA PROSPECT INTERNAL MEDICINE
Street 10501 FISCHER PARK DRIVE
City LOUISVILLE
State KY
ZIP 40241
Phone 502 713-1332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director DR. TINA T. YUAN

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