18D0648694 CLIA NUMBER - BMA SOMERSET

Laboratory Demographics

CLIA Number: 18D0648694

Facility Name: BMA SOMERSET

Facility Address:
119 TRADE PARK DRIVE
SOMERSET, KY
ZIP 42503
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Facility Phone Number: 606 678-9811

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1295847028

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D0648694
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	BMA SOMERSET
Street	119 TRADE PARK DRIVE
City	SOMERSET
State	KY
ZIP	42503
Phone	606 678-9811
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024