18D1106019 CLIA NUMBER - BOURBON COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D1106019
  • Facility Name: BOURBON COUNTY DIALYSIS
  • Facility Address: 213 LETTON DRIVE
    PARIS, KY
    ZIP 40361
  • Facility Phone: 859 988-1117
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MS. TAHA AYACH
  • NPI Number: 1629201389
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1106019
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BOURBON COUNTY DIALYSIS
Street 213 LETTON DRIVE
City PARIS
State KY
ZIP 40361
Phone 859 988-1117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MS. TAHA AYACH

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