18D2297259 CLIA NUMBER - TRILOGY DIALYSIS - PARK TERRACE

Laboratory Demographics

  • CLIA Code: 18D2297259
  • Facility Name: TRILOGY DIALYSIS - PARK TERRACE
  • Facility Address: 9700 STONESTREET ROAD, SUITE B
    LOUISVILLE, KY
    ZIP 40272
  • Facility Phone: 502 678-4690
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MS. STACIE BOLTON
  • NPI Number: 1689455669
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2297259
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TRILOGY DIALYSIS - PARK TERRACE
Street 9700 STONESTREET ROAD, SUITE B
City LOUISVILLE
State KY
ZIP 40272
Phone 502 678-4690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MS. STACIE BOLTON

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