18D0929832 CLIA NUMBER - BLUEGRASS DERMATOLOGY SKIN SURGERY PSC

Laboratory Demographics

  • CLIA Code: 18D0929832
  • Facility Name: BLUEGRASS DERMATOLOGY SKIN SURGERY PSC
  • Facility Address: 3475 RICHMOND RD, STE 200
    LEXINGTON, KY
    ZIP 40509
  • Facility Phone: 859 296-4400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CAROL B. THOMPSON
  • NPI Number: 1609924018
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 18D0929832
LAB Type Physician Office
Facility Name BLUEGRASS DERMATOLOGY SKIN SURGERY PSC
Street 3475 RICHMOND RD, STE 200
City LEXINGTON
State KY
ZIP 40509
Phone 859 296-4400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director DR. CAROL B. THOMPSON

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