18D2279588 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 18D2279588
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 4420 DIXIE HWY STE 107
    LOUISVILLE, KY
    ZIP 40216
  • Facility Phone: 502 855-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN YOUNG
  • NPI Number: 1720743917
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 18D2279588
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 4420 DIXIE HWY STE 107
City LOUISVILLE
State KY
ZIP 40216
Phone 502 855-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director DR. STEPHEN YOUNG

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