18D2259074 CLIA NUMBER - PEARL DIAGNOSTIC LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 18D2259074
  • Facility Name: PEARL DIAGNOSTIC LABORATORY LLC
  • Facility Address: 2202 BUECHEL AVENUE, STE 105D
    LOUISVILLE, KY
    ZIP 40218
  • Facility Phone: 502 456-0494
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. JIYEON LEE
  • NPI Number: 1215544549
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 18D2259074
LAB Type Independent
Facility Name PEARL DIAGNOSTIC LABORATORY LLC
Street 2202 BUECHEL AVENUE, STE 105D
City LOUISVILLE
State KY
ZIP 40218
Phone 502 456-0494
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Independent
Lab Director DR. JIYEON LEE

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