18D0675245 CLIA NUMBER - BAPTIST HEALTH SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 18D0675245

Facility Name: BAPTIST HEALTH SURGERY CENTER, LLC

Facility Address:
240 FOUNTAIN COURT
LEXINGTON, KY
ZIP 40509
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Facility Phone Number: 859 278-1460

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1689216152

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D0675245
LAB Type	Ambulatory Surgery Center
Facility Name	BAPTIST HEALTH SURGERY CENTER, LLC
Street	240 FOUNTAIN COURT
City	LEXINGTON
State	KY
ZIP	40509
Phone	859 278-1460
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