18D2239869 CLIA NUMBER - EDGEWOOD CARDIAC CATH LAB HEART & VASCULAR INSTITUTE

Laboratory Demographics

  • CLIA Code: 18D2239869
  • Facility Name: EDGEWOOD CARDIAC CATH LAB HEART & VASCULAR INSTITUTE
  • Facility Address: 711 MEDICAL VILLAGE DR
    EDGEWOOD, KY
    ZIP 41017
  • Facility Phone: 859 301-2593
  • Facility Type: Other - CARDIOVASCULAR LAB
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JEREMY HART
  • NPI Number: 1801397112
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2239869
LAB Type Other - CARDIOVASCULAR LAB
Facility Name EDGEWOOD CARDIAC CATH LAB HEART & VASCULAR INSTITUTE
Street 711 MEDICAL VILLAGE DR
City EDGEWOOD
State KY
ZIP 41017
Phone 859 301-2593
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 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Other - CARDIOVASCULAR LAB
Lab Director DR. JEREMY HART

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