18D2266884 CLIA NUMBER - PREMIER PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 18D2266884
  • Facility Name: PREMIER PEDIATRICS, PLLC
  • Facility Address: 2408 SIR BARTON WAY STE 125
    LEXINGTON, KY
    ZIP 40509
  • Facility Phone: (859) 810-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAUREN KOSTELNIK
  • NPI Number: 1801529854
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2266884
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS, PLLC
Street 2408 SIR BARTON WAY STE 125
City LEXINGTON
State KY
ZIP 40509
Phone 8598107337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director DR. LAUREN KOSTELNIK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026