18D2320224 CLIA NUMBER - LUMINOSITY INTEGRATED REJUVENATION

Laboratory Demographics

  • CLIA Code: 18D2320224
  • Facility Name: LUMINOSITY INTEGRATED REJUVENATION
  • Facility Address: 503 DEPOT ROAD
    PAINTSVILLE, KY
    ZIP 41240
  • Facility Phone: 606 372-2111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. JASON S. SHORT
  • NPI Number: 1073364170
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D2320224
LAB Type Physician Office
Facility Name LUMINOSITY INTEGRATED REJUVENATION
Street 503 DEPOT ROAD
City PAINTSVILLE
State KY
ZIP 41240
Phone 606 372-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director MR. JASON S. SHORT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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