18D2067425 CLIA NUMBER - BARNSTABLE BROWN DIABETES AND ENDOCRINOLOGY CENTER

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Laboratory Demographics

CLIA Number: 18D2067425

Facility Name: BARNSTABLE BROWN DIABETES AND ENDOCRINOLOGY CENTER

Facility Address:
2195 HARRODSBURG ROAD, STE 125
LEXINGTON, KY
ZIP 40504
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Facility Phone Number: 859 323-2232

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1215449178

Taxonomy: 163WD0400X - Registered Nurse

CLIA Record

Field Name	Field Value
CLIA Number	18D2067425
LAB Type	Physician Office
Facility Name	BARNSTABLE BROWN DIABETES AND ENDOCRINOLOGY CENTER
Street	2195 HARRODSBURG ROAD, STE 125
City	LEXINGTON
State	KY
ZIP	40504
Phone	859 323-2232
CertificateType	3
CertificateEffectiveDate	9/12/2022
CertificateExpirationDate	9/11/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024