18D1012151 CLIA NUMBER - KENTUCKY RENAL CARE GROUP LEX NORTH

Laboratory Demographics

  • CLIA Code: 18D1012151
  • Facility Name: KENTUCKY RENAL CARE GROUP LEX NORTH
  • Facility Address: 1610LEESTOWN ROAD
    LEXINGTON, KY
    ZIP 40511
  • Facility Phone: 859 254-0671
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANA L. CASTELLANOS
  • NPI Number: 1619089430
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1012151
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KENTUCKY RENAL CARE GROUP LEX NORTH
Street 1610LEESTOWN ROAD
City LEXINGTON
State KY
ZIP 40511
Phone 859 254-0671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANA L. CASTELLANOS

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