18D0954168 CLIA NUMBER - BLUEGRASS CLINICAL RESEARCH, INC

Laboratory Demographics

  • CLIA Code: 18D0954168
  • Facility Name: BLUEGRASS CLINICAL RESEARCH, INC
  • Facility Address: 5813 BARDSTOWN RD SUITE 204
    LOUISVILLE, KY
    ZIP 40291
  • Facility Phone: 502 231-1982
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: DR. THOMAS W. BENNINGER
  • NPI Number: 1184423808
  • Taxonomy: 106S00000X - Behavior Technician

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CLIA Record

Field Name Field Value
CLIA Number 18D0954168
LAB Type Other
Facility Name BLUEGRASS CLINICAL RESEARCH, INC
Street 5813 BARDSTOWN RD SUITE 204
City LOUISVILLE
State KY
ZIP 40291
Phone 502 231-1982
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 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Other
Lab Director DR. THOMAS W. BENNINGER

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