18D2151317 CLIA NUMBER - GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS

Laboratory Demographics

  • CLIA Code: 18D2151317
  • Facility Name: GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS
  • Facility Address: 1138 LEXINGTON RD, SUITE 140
    GEORGETOWN, KY
    ZIP 40324
  • Facility Phone: 502 570-3782
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JUSTIN CASE
  • NPI Number: 1164867883
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2151317
LAB Type Physician Office
Facility Name GASTROENTEROLOGY AND HEPATOLOGY OF THE BLUEGRASS
Street 1138 LEXINGTON RD, SUITE 140
City GEORGETOWN
State KY
ZIP 40324
Phone 502 570-3782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director DR. JUSTIN CASE

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