18D2136458 CLIA NUMBER - ASSOCIATES IN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 18D2136458
  • Facility Name: ASSOCIATES IN DERMATOLOGY
  • Facility Address: 700 PORTLAND AVENUE
    BARDSTOWN, KY
    ZIP 40004
  • Facility Phone: 502 583-1749
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARK T. HAEBERIE
  • NPI Number: 1588844401
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 18D2136458
LAB Type Physician Office
Facility Name ASSOCIATES IN DERMATOLOGY
Street 700 PORTLAND AVENUE
City BARDSTOWN
State KY
ZIP 40004
Phone 502 583-1749
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Physician Office
Lab Director DR. MARK T. HAEBERIE

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