18D2014728 CLIA NUMBER - BLUEGRASS EPILEPSY RESEARCH, LLC

Laboratory Demographics

  • CLIA Code: 18D2014728
  • Facility Name: BLUEGRASS EPILEPSY RESEARCH, LLC
  • Facility Address: 1401 HARRODSBURG ROAD, SUITE B-280
    LEXINGTON, KY
    ZIP 40504
  • Facility Phone: 859 313-4989
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TOUFIC A. FAKHOURY
  • NPI Number: 1417110842
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 18D2014728
LAB Type Physician Office
Facility Name BLUEGRASS EPILEPSY RESEARCH, LLC
Street 1401 HARRODSBURG ROAD, SUITE B-280
City LEXINGTON
State KY
ZIP 40504
Phone 859 313-4989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Physician Office
Lab Director DR. TOUFIC A. FAKHOURY

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