18D2092524 CLIA NUMBER - BC MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 18D2092524
  • Facility Name: BC MEDICAL LLC
  • Facility Address: 1675 SOUTH MAIN STREET
    LONDON, KY
    ZIP 40741
  • Facility Phone: 606 330-1717
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NADINE BROCK
  • NPI Number: 1992197867
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2092524
LAB Type Practitioner Other
Facility Name BC MEDICAL LLC
Street 1675 SOUTH MAIN STREET
City LONDON
State KY
ZIP 40741
Phone 606 330-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Practitioner Other
Lab Director NADINE BROCK

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