18D2297390 CLIA NUMBER - LEXINGTON CLINIC - DAK SOMERSET

Laboratory Demographics

CLIA Number: 18D2297390

Facility Name: LEXINGTON CLINIC - DAK SOMERSET

Facility Address:
120 TRADEPARK DR, SUITE B
SOMERSET, KY
ZIP 42503
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Facility Phone Number: 859 263-4444

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1003855966

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2297390
LAB Type	Physician Office
Facility Name	LEXINGTON CLINIC - DAK SOMERSET
Street	120 TRADEPARK DR, SUITE B
City	SOMERSET
State	KY
ZIP	42503
Phone	859 263-4444
CertificateType	2
CertificateEffectiveDate	1/16/2024
CertificateExpirationDate	1/15/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024