18D2144836 CLIA NUMBER - BRIDGEHAVEN, INC

Laboratory Demographics

  • CLIA Code: 18D2144836
  • Facility Name: BRIDGEHAVEN, INC
  • Facility Address: 950 SOUTH FIRST STREET
    LOUISVILLE, KY
    ZIP 40203
  • Facility Phone: 502 585-9444
  • Facility Type: Other - BHSO
  • Facility Type: Waiver
  • Lab Director: MS. RAMONA L. JOHNSON
  • NPI Number: 1093823817
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2144836
LAB Type Other - BHSO
Facility Name BRIDGEHAVEN, INC
Street 950 SOUTH FIRST STREET
City LOUISVILLE
State KY
ZIP 40203
Phone 502 585-9444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Other - BHSO
Lab Director MS. RAMONA L. JOHNSON

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