18D2176734 CLIA NUMBER - BLUEGRASS VISION GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 18D2176734
  • Facility Name: BLUEGRASS VISION GROUP, PLLC
  • Facility Address: 25 STERLING WAY, STE C
    MOUNT STERLING, KY
    ZIP 40353
  • Facility Phone: 859 498-4800
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. JUSTIN E. COLEMAN
  • NPI Number: 1073060224
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 18D2176734
LAB Type Practitioner Other
Facility Name BLUEGRASS VISION GROUP, PLLC
Street 25 STERLING WAY, STE C
City MOUNT STERLING
State KY
ZIP 40353
Phone 859 498-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Practitioner Other
Lab Director DR. JUSTIN E. COLEMAN

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