18D2154669 CLIA NUMBER - DERMCARE PRACTITIONERS, LLC

Laboratory Demographics

  • CLIA Code: 18D2154669
  • Facility Name: DERMCARE PRACTITIONERS, LLC
  • Facility Address: 1169 EASTERN PARKWAY, STE 431
    LOUISVILLE, KY
    ZIP 40217
  • Facility Phone: 502 361-3909
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. CHRISTY Q. BAKER
  • NPI Number: 1629558291
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2154669
LAB Type Practitioner Other
Facility Name DERMCARE PRACTITIONERS, LLC
Street 1169 EASTERN PARKWAY, STE 431
City LOUISVILLE
State KY
ZIP 40217
Phone 502 361-3909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Practitioner Other
Lab Director MS. CHRISTY Q. BAKER

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