18D0323302 CLIA NUMBER - WESTSIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 18D0323302
  • Facility Name: WESTSIDE PEDIATRICS
  • Facility Address: 3945 ROSALIE RD
    LEXINGTON, KY
    ZIP 40510
  • Facility Phone: 859 277-3490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. REBECCA G. BOSOMWORTH
  • NPI Number: 1922155407
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0323302
LAB Type Physician Office
Facility Name WESTSIDE PEDIATRICS
Street 3945 ROSALIE RD
City LEXINGTON
State KY
ZIP 40510
Phone 859 277-3490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director DR. REBECCA G. BOSOMWORTH

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