18D2277350 CLIA NUMBER - RONALD C BIBB, JR, MD DBA BIBB ADDICTION & OBESITY CENTER

Laboratory Demographics

  • CLIA Code: 18D2277350
  • Facility Name: RONALD C BIBB, JR, MD DBA BIBB ADDICTION & OBESITY CENTER
  • Facility Address: 365 WALLER AVENUE, SUITE 100
    LEXINGTON, KY
    ZIP 40504
  • Facility Phone: 859 309-1829
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RONALD C. BIBB JR
  • NPI Number: 1386663979
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2277350
LAB Type Physician Office
Facility Name RONALD C BIBB, JR, MD DBA BIBB ADDICTION & OBESITY CENTER
Street 365 WALLER AVENUE, SUITE 100
City LEXINGTON
State KY
ZIP 40504
Phone 859 309-1829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Physician Office
Lab Director DR. RONALD C. BIBB JR

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