18D1013235 CLIA NUMBER - RCG UNIVERSITY DIVISION RENAL CARE GROUP LEXINGON SOUTH

Laboratory Demographics

  • CLIA Code: 18D1013235
  • Facility Name: RCG UNIVERSITY DIVISION RENAL CARE GROUP LEXINGON SOUTH
  • Facility Address: 171 NORTH EAGLE CREEK DRIVE
    LEXINGTON, KY
    ZIP 40509
  • Facility Phone: 859 264-7775
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM CAUDILL
  • NPI Number: 1891807616
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D1013235
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RCG UNIVERSITY DIVISION RENAL CARE GROUP LEXINGON SOUTH
Street 171 NORTH EAGLE CREEK DRIVE
City LEXINGTON
State KY
ZIP 40509
Phone 859 264-7775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM CAUDILL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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