18D2036262 CLIA NUMBER - BLUEGRASS URGENT CARE

Laboratory Demographics

  • CLIA Code: 18D2036262
  • Facility Name: BLUEGRASS URGENT CARE
  • Facility Address: 625 CHESTNUT DRIVE, SUITE 106
    WALTON, KY
    ZIP 41094
  • Facility Phone: 859 485-7900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT R. SO
  • NPI Number: 1104106954
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2036262
LAB Type Physician Office
Facility Name BLUEGRASS URGENT CARE
Street 625 CHESTNUT DRIVE, SUITE 106
City WALTON
State KY
ZIP 41094
Phone 859 485-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director DR. ROBERT R. SO

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