18D2183476 CLIA NUMBER - PCA CORRECTIONS, LLC DBA SYNCHRONY LOUISVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 18D2183476
  • Facility Name: PCA CORRECTIONS, LLC DBA SYNCHRONY LOUISVILLE PHARMACY
  • Facility Address: 2701 CHESTNUT STATION COURT
    LOUISVILLE, KY
    ZIP 40299
  • Facility Phone: 502 266-2549
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. MARGARET SIDEBOTTOM
  • NPI Number: 1548231293
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2183476
LAB Type Physician Office
Facility Name PCA CORRECTIONS, LLC DBA SYNCHRONY LOUISVILLE PHARMACY
Street 2701 CHESTNUT STATION COURT
City LOUISVILLE
State KY
ZIP 40299
Phone 502 266-2549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director MS. MARGARET SIDEBOTTOM

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