18D2234024 CLIA NUMBER - MARK CHARIKER MD PSC

Laboratory Demographics

CLIA Number: 18D2234024

Facility Name: MARK CHARIKER MD PSC

Facility Address:
222 S 1ST ST SUITE 100
LOUISVILLE, KY
ZIP 40202
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Facility Phone Number: 502 568-4800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194724997

Taxonomy: 2086S0122X - Surgery
A surgeon who specializes in plastic and reconstructive surgery.

CLIA Record

Field Name	Field Value
CLIA Number	18D2234024
LAB Type	Physician Office
Facility Name	MARK CHARIKER MD PSC
Street	222 S 1ST ST SUITE 100
City	LOUISVILLE
State	KY
ZIP	40202
Phone	502 568-4800
CertificateType	4
CertificateEffectiveDate	8/27/2023
CertificateExpirationDate	8/26/2025
FacilityType	Waiver

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