18D2280444 CLIA NUMBER - WAYSPRING CLINIC

Laboratory Demographics

  • CLIA Code: 18D2280444
  • Facility Name: WAYSPRING CLINIC
  • Facility Address: 1169 EASTERN PARKWAY SUITE 2313
    LOUISVILLE, KY
    ZIP 40217
  • Facility Phone: 615 345-3555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. MICHAEL FROST
  • NPI Number: 1679216618
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2280444
LAB Type Physician Office
Facility Name WAYSPRING CLINIC
Street 1169 EASTERN PARKWAY SUITE 2313
City LOUISVILLE
State KY
ZIP 40217
Phone 615 345-3555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director MR. MICHAEL FROST

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