18D2299250 CLIA NUMBER - DIRECT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D2299250
  • Facility Name: DIRECT PEDIATRICS
  • Facility Address: 6302 MEETING STREET,SUITE 101
    PROSPECT, KY
    ZIP 40059
  • Facility Phone: 502 551-6601
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STEPHEN K. JOHNSON
  • NPI Number: 1679334643
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D2299250
LAB Type Physician Office
Facility Name DIRECT PEDIATRICS
Street 6302 MEETING STREET,SUITE 101
City PROSPECT
State KY
ZIP 40059
Phone 502 551-6601
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director DR. STEPHEN K. JOHNSON

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