18D2154289 CLIA NUMBER - ST ELIZABETH PHYSICIAN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 18D2154289
  • Facility Name: ST ELIZABETH PHYSICIAN DERMATOLOGY
  • Facility Address: 2626 ALEXANDRIA PIKE
    HIGHLAND HEIGHTS, KY
    ZIP 41076
  • Facility Phone: 859 371-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CHRISTINA ALEXANDER
  • NPI Number: 1790042430
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2154289
LAB Type Physician Office
Facility Name ST ELIZABETH PHYSICIAN DERMATOLOGY
Street 2626 ALEXANDRIA PIKE
City HIGHLAND HEIGHTS
State KY
ZIP 41076
Phone 859 371-3376
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director DR. CHRISTINA ALEXANDER

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