18D2305832 CLIA NUMBER - KENTUCKY PHS, LLC

Laboratory Demographics

  • CLIA Code: 18D2305832
  • Facility Name: KENTUCKY PHS, LLC
  • Facility Address: 4965 US HWY 42
    LOUISVILLE, KY
    ZIP 40222
  • Facility Phone: (877) 279-5960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. NIKKI PARISE
  • NPI Number: 1912774050
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D2305832
LAB Type Physician Office
Facility Name KENTUCKY PHS, LLC
Street 4965 US HWY 42
City LOUISVILLE
State KY
ZIP 40222
Phone 8772795960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director MS. NIKKI PARISE

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