18D2089947 CLIA NUMBER - BLUEGRASS EXTENDED CARE

Laboratory Demographics

  • CLIA Code: 18D2089947
  • Facility Name: BLUEGRASS EXTENDED CARE
  • Facility Address: 989 GOVERNORS LANE SUITE 140
    LEXINGTON, KY
    ZIP 40513
  • Facility Phone: 859 338-3958
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN RICHARD
  • NPI Number: 1912274044
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2089947
LAB Type Physician Office
Facility Name BLUEGRASS EXTENDED CARE
Street 989 GOVERNORS LANE SUITE 140
City LEXINGTON
State KY
ZIP 40513
Phone 859 338-3958
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director DR. JOHN RICHARD

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