18D1048485 CLIA NUMBER - BLUEGRASS MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 18D1048485
  • Facility Name: BLUEGRASS MEDICAL ASSOCIATES
  • Facility Address: 2425 NEWHOLT RD
    PADUCAH, KY
    ZIP 42001
  • Facility Phone: 270 441-4850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES EICKHOLZ
  • NPI Number: 1881740884
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 18D1048485
LAB Type Physician Office
Facility Name BLUEGRASS MEDICAL ASSOCIATES
Street 2425 NEWHOLT RD
City PADUCAH
State KY
ZIP 42001
Phone 270 441-4850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director DR. JAMES EICKHOLZ

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