18D2177716 CLIA NUMBER - BLUEGRASS SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 18D2177716
  • Facility Name: BLUEGRASS SENIOR LIVING
  • Facility Address: 145 TOWER CIRCLE
    SOMERSET, KY
    ZIP 42503
  • Facility Phone: 606 679-4578
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MS. TANYA ROBERTS
  • NPI Number: 1558314534
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 18D2177716
LAB Type Assisted Living Facility
Facility Name BLUEGRASS SENIOR LIVING
Street 145 TOWER CIRCLE
City SOMERSET
State KY
ZIP 42503
Phone 606 679-4578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Assisted Living Facility
Lab Director MS. TANYA ROBERTS

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