18D2327692 CLIA NUMBER - NEW LEGACY REENTRY CORPORATION

Laboratory Demographics

  • CLIA Code: 18D2327692
  • Facility Name: NEW LEGACY REENTRY CORPORATION
  • Facility Address: 1115 GARVIN PLACE
    LOUISVILLE, KY
    ZIP 40291
  • Facility Phone: 502 276-0660
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MS. GISELA NELSON
  • NPI Number: 1265250393
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2327692
LAB Type Ancillary Testing Site in Health Care Center
Facility Name NEW LEGACY REENTRY CORPORATION
Street 1115 GARVIN PLACE
City LOUISVILLE
State KY
ZIP 40291
Phone 502 276-0660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MS. GISELA NELSON

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