18D1063708 CLIA NUMBER - LEXINGTON CLINIC - PAA EAST

Laboratory Demographics

  • CLIA Code: 18D1063708
  • Facility Name: LEXINGTON CLINIC - PAA EAST
  • Facility Address: 171 N EAGLE CREEK DR, SUITE 100
    LEXINGTON, KY
    ZIP 40509
  • Facility Phone: 859 277-6102
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHARLES G. ISON
  • NPI Number: 1952402091
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D1063708
LAB Type Physician Office
Facility Name LEXINGTON CLINIC - PAA EAST
Street 171 N EAGLE CREEK DR, SUITE 100
City LEXINGTON
State KY
ZIP 40509
Phone 859 277-6102
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director DR. CHARLES G. ISON

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