18D1097867 CLIA NUMBER - BUC INDEPENDENCE LLC

Laboratory Demographics

  • CLIA Code: 18D1097867
  • Facility Name: BUC INDEPENDENCE LLC
  • Facility Address: 2025 DECLARATION DRIVE
    INDEPENDENCE, KY
    ZIP 41051
  • Facility Phone: 859 371-7900
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT R. SO
  • NPI Number: 1417330150
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1097867
LAB Type Other
Facility Name BUC INDEPENDENCE LLC
Street 2025 DECLARATION DRIVE
City INDEPENDENCE
State KY
ZIP 41051
Phone 859 371-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Other
Lab Director DR. ROBERT R. SO

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