18D2269723 CLIA NUMBER - BLUEGRASS PROFESSIONAL COUNSELING

Laboratory Demographics

  • CLIA Code: 18D2269723
  • Facility Name: BLUEGRASS PROFESSIONAL COUNSELING
  • Facility Address: 103 LINCOLN DR
    HODGENVILLE, KY
    ZIP 42748
  • Facility Phone: 270 696-3181
  • Facility Type: Other - MENTAL HEALTH OFFICE
  • Facility Type: Waiver
  • Lab Director: MS. MARY ANN JONES
  • NPI Number: 1063899789
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 18D2269723
LAB Type Other - MENTAL HEALTH OFFICE
Facility Name BLUEGRASS PROFESSIONAL COUNSELING
Street 103 LINCOLN DR
City HODGENVILLE
State KY
ZIP 42748
Phone 270 696-3181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other - MENTAL HEALTH OFFICE
Lab Director MS. MARY ANN JONES

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