18D1020573 CLIA NUMBER - BARDSTOWN DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 18D1020573
  • Facility Name: BARDSTOWN DIALYSIS CENTER
  • Facility Address: 210 W JOHN FITCH AVENUE
    BARDSTOWN, KY
    ZIP 40004
  • Facility Phone: 800 477-1916
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KHALID M. BHATTI
  • NPI Number: 1639654809
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1020573
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BARDSTOWN DIALYSIS CENTER
Street 210 W JOHN FITCH AVENUE
City BARDSTOWN
State KY
ZIP 40004
Phone 800 477-1916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KHALID M. BHATTI

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