18D2175614 CLIA NUMBER - FERN CREEK FIRE & EMS

Laboratory Demographics

CLIA Number: 18D2175614

Facility Name: FERN CREEK FIRE & EMS

Facility Address:
6200 BARDSTOWN ROAD
LOUISVILLE, KY
ZIP 40291
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Facility Phone Number: 502 239-7075

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1528605532

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	18D2175614
LAB Type	Ambulance
Facility Name	FERN CREEK FIRE & EMS
Street	6200 BARDSTOWN ROAD
City	LOUISVILLE
State	KY
ZIP	40291
Phone	502 239-7075
CertificateType	4
CertificateEffectiveDate	11/25/2023
CertificateExpirationDate	11/24/2025
FacilityType	Waiver

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