18D2156587 CLIA NUMBER - ASSOCIATES IN DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 18D2156587
  • Facility Name: ASSOCIATES IN DERMATOLOGY PLLC
  • Facility Address: 1028 N DIXIE AVE, STE 140
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 502 370-3594
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TYE M. HAEBERLE
  • NPI Number: 1588294375
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2156587
LAB Type Physician Office
Facility Name ASSOCIATES IN DERMATOLOGY PLLC
Street 1028 N DIXIE AVE, STE 140
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 502 370-3594
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 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director DR. TYE M. HAEBERLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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