18D2024210 CLIA NUMBER - KENTUCKY MSO, LLC DBA BLUEGRASS BUSINESS HEALTH - GEORGETOWN

Laboratory Demographics

  • CLIA Code: 18D2024210
  • Facility Name: KENTUCKY MSO, LLC DBA BLUEGRASS BUSINESS HEALTH - GEORGETOWN
  • Facility Address: 1002 LEXINGTON ROAD STE 21
    GEORGETOWN, KY
    ZIP 40324
  • Facility Phone: 502 570-7953
  • Facility Type: Other - OCCUPATIONAL HEALTH CLINI
  • Facility Type: Waiver
  • Lab Director: DR. HENRY R. PRESTON
  • NPI Number: 1679902340
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2024210
LAB Type Other - OCCUPATIONAL HEALTH CLINI
Facility Name KENTUCKY MSO, LLC DBA BLUEGRASS BUSINESS HEALTH - GEORGETOWN
Street 1002 LEXINGTON ROAD STE 21
City GEORGETOWN
State KY
ZIP 40324
Phone 502 570-7953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Other - OCCUPATIONAL HEALTH CLINI
Lab Director DR. HENRY R. PRESTON

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