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18D2140702 CLIA NUMBER - SMOKETOWN FAMILY WELLNESS CENTER

Laboratory Demographics

CLIA Number: 18D2140702

Facility Name: SMOKETOWN FAMILY WELLNESS CENTER

Facility Address:
760 S HANCOCK STREET, STE B100
LOUISVILLE, KY
ZIP 40203
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Facility Phone Number: 502 608-3570

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1184145815

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 18D2140702
LAB Type Community Clinic
Facility Name SMOKETOWN FAMILY WELLNESS CENTER
Street 760 S HANCOCK STREET, STE B100
City LOUISVILLE
State KY
ZIP 40203
Phone 502 608-3570
CertificateType 4
CertificateEffectiveDate 11/28/2023
CertificateExpirationDate 11/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024