18D2153438 CLIA NUMBER - HEALTH FIRST BLUEGRASS GOODWIN

Laboratory Demographics

  • CLIA Code: 18D2153438
  • Facility Name: HEALTH FIRST BLUEGRASS GOODWIN
  • Facility Address: 1060 GOODWIN DRIVE
    LEXINGTON, KY
    ZIP 40505
  • Facility Phone: 859 288-2392
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. DEBORAH STANLEY
  • NPI Number: 1215699467
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2153438
LAB Type Federally Qualified Health Center
Facility Name HEALTH FIRST BLUEGRASS GOODWIN
Street 1060 GOODWIN DRIVE
City LEXINGTON
State KY
ZIP 40505
Phone 859 288-2392
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Federally Qualified Health Center
Lab Director DR. DEBORAH STANLEY

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