18D2182211 CLIA NUMBER - BLUEGRASS RENAL CARE, PSC

Laboratory Demographics

  • CLIA Code: 18D2182211
  • Facility Name: BLUEGRASS RENAL CARE, PSC
  • Facility Address: 3229 SUMMIT SQUARE PLACE, SUITE 240
    LEXINGTON, KY
    ZIP 40509
  • Facility Phone: 859 263-1717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SARA ZIAD
  • NPI Number: 1831936343
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2182211
LAB Type Physician Office
Facility Name BLUEGRASS RENAL CARE, PSC
Street 3229 SUMMIT SQUARE PLACE, SUITE 240
City LEXINGTON
State KY
ZIP 40509
Phone 859 263-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director DR. SARA ZIAD

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