18D0900752 CLIA NUMBER - HEALTHFIRST BLUEGRASS SOUTHLAND

Laboratory Demographics

  • CLIA Code: 18D0900752
  • Facility Name: HEALTHFIRST BLUEGRASS SOUTHLAND
  • Facility Address: 496 SOUTHLAND DRIVE
    LEXINGTON, KY
    ZIP 40503
  • Facility Phone: 859 288-2425
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. PAUL DEPRIEST
  • NPI Number: 1689079840
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 18D0900752
LAB Type Federally Qualified Health Center
Facility Name HEALTHFIRST BLUEGRASS SOUTHLAND
Street 496 SOUTHLAND DRIVE
City LEXINGTON
State KY
ZIP 40503
Phone 859 288-2425
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Federally Qualified Health Center
Lab Director DR. PAUL DEPRIEST

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