18D2063195 CLIA NUMBER - KENTUCKY WILDCAT SPECIALTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D2063195
  • Facility Name: KENTUCKY WILDCAT SPECIALTY DIALYSIS
  • Facility Address: 2130 NICHOLASVILLE ROAD, SUITE 5
    LEXINGTON, KY
    ZIP 40503
  • Facility Phone: 615 341-6657
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. SADIQ AHMED
  • NPI Number: 1073608634
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 18D2063195
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KENTUCKY WILDCAT SPECIALTY DIALYSIS
Street 2130 NICHOLASVILLE ROAD, SUITE 5
City LEXINGTON
State KY
ZIP 40503
Phone 615 341-6657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. SADIQ AHMED

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