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18D0934777 CLIA NUMBER - LEXINGTON CLINIC VETERANS PARK

Laboratory Demographics

CLIA Number: 18D0934777

Facility Name: LEXINGTON CLINIC VETERANS PARK

Facility Address:
630 SOUTH POINT DRIVE
LEXINGTON, KY
ZIP 40515
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Facility Phone Number: 606 272-1928

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1699956524

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 18D0934777
LAB Type Physician Office
Facility Name LEXINGTON CLINIC VETERANS PARK
Street 630 SOUTH POINT DRIVE
City LEXINGTON
State KY
ZIP 40515
Phone 606 272-1928
CertificateType 3
CertificateEffectiveDate 5/19/2022
CertificateExpirationDate 5/18/2024
FacilityType PPMP

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