PEARL DIAGNOSTIC LABORATORY, LLC
NPI 1215544549
Clinical Medical Laboratory in Louisville, KY

Active since September 30, 2020CLIA 18D2259074 · Accreditation
2202 BUECHEL AVE STE 105D, LOUISVILLE, KY 40218(502) 814-4074(502) 814-4073 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2022, May 24, 2022, Sep 30, 2020 (3 updates tracked since 2020).

About Pearl Diagnostic Laboratory, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARL DIAGNOSTIC LABORATORY, LLC (NPI 1215544549) is a healthcare organization registered as a clinical medical laboratory in Louisville, Kentucky and active in the NPI registry since September 2020. The organization holds an CLIA Accreditation certificate valid through March 6, 2027 and lists Osawaru Omoruyi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215544549
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePEARL DIAGNOSTIC LABORATORY, LLC
Location Address2202 BUECHEL AVE STE 105DLouisville, KY 40218-2672
Mailing Address2202 Buechel Ave Ste 105dLouisville, KY 40218-2672 · (502) 814-4074 · Fax (502) 814-4073
Fax(502) 814-4073
Organization SubpartNo
Authorized OfficialOsawaru OmoruyiCeo · (502) 777-4301
Enumeration DateSeptember 30, 2020
Last NPPES UpdateSeptember 28, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
NPI 1215544549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
2202 BUECHEL AVE STE 105D, Louisville, KY 40218

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 18D2259074

Pearl Diagnostic Laboratory LLC · Louisville, KY
Active · expires Mar 6, 2027
CLIA Number18D2259074
Laboratory TypeIndependent
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorDr. Lewis Jackson
Laboratory Phone(502) 456-0494
Laboratory LocationPearl Diagnostic Laboratory LLC2202 Buechel Avenue, Ste 105D, Louisville, KY 40218
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pearl Diagnostic Laboratory, LLC's NPI number?

The NPI number for Pearl Diagnostic Laboratory, LLC is 1215544549. It was assigned to this organization in the NPPES registry on September 30, 2020.

Where is Pearl Diagnostic Laboratory, LLC located?

Pearl Diagnostic Laboratory, LLC is located at 2202 Buechel Ave Ste 105D, Louisville, KY 40218. The listed phone number is (502) 814-4074.

What is Pearl Diagnostic Laboratory, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Pearl Diagnostic Laboratory, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 18D2259074) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pearl Diagnostic Laboratory, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Pearl Diagnostic Laboratory, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pearl Diagnostic Laboratory, LLC was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.