18D0992684 CLIA NUMBER - KENTUCKY FOOT AND ANKLE ASSOCIATES

Laboratory Demographics

CLIA Number: 18D0992684

Facility Name: KENTUCKY FOOT AND ANKLE ASSOCIATES

Facility Address:
1401 HARRODSBURG ROAD SUITE B295
LEXINGTON, KY
ZIP 40504
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Facility Phone Number: 859 276-5349

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114053584

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	18D0992684
LAB Type	Physician Office
Facility Name	KENTUCKY FOOT AND ANKLE ASSOCIATES
Street	1401 HARRODSBURG ROAD SUITE B295
City	LEXINGTON
State	KY
ZIP	40504
Phone	859 276-5349
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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