18D2220221 CLIA NUMBER - PEDIATRIC AND ADULT PROMPTCARE

Laboratory Demographics

  • CLIA Code: 18D2220221
  • Facility Name: PEDIATRIC AND ADULT PROMPTCARE
  • Facility Address: 614 WEST BROADWAY
    LOUISVILLE, KY
    ZIP 40202
  • Facility Phone: 502 587-0394
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ABDUL HAQ
  • NPI Number: 1740451061
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2220221
LAB Type Physician Office
Facility Name PEDIATRIC AND ADULT PROMPTCARE
Street 614 WEST BROADWAY
City LOUISVILLE
State KY
ZIP 40202
Phone 502 587-0394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director DR. ABDUL HAQ

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