18D2173432 CLIA NUMBER - BOURBONTOWN MEDICAL BILLING, LLC

Laboratory Demographics

  • CLIA Code: 18D2173432
  • Facility Name: BOURBONTOWN MEDICAL BILLING, LLC
  • Facility Address: 1822 MAIN ST
    PARIS, KY
    ZIP 40361
  • Facility Phone: 859 900-0330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DREW A. BREWER
  • NPI Number: 1700486677
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2173432
LAB Type Pharmacy
Facility Name BOURBONTOWN MEDICAL BILLING, LLC
Street 1822 MAIN ST
City PARIS
State KY
ZIP 40361
Phone 859 900-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/13/2025
Facility Type Pharmacy
Lab Director MR. DREW A. BREWER

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