18D2300833 CLIA NUMBER - BLUEGRASSMD

Laboratory Demographics

  • CLIA Code: 18D2300833
  • Facility Name: BLUEGRASSMD
  • Facility Address: 424 LEWIS HARGETT CIR SUITE 250
    LEXINGTON, KY
    ZIP 40503
  • Facility Phone: 859 553-0705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DONNA D. STANTON
  • NPI Number: 1609074624
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D2300833
LAB Type Physician Office
Facility Name BLUEGRASSMD
Street 424 LEWIS HARGETT CIR SUITE 250
City LEXINGTON
State KY
ZIP 40503
Phone 859 553-0705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director DR. DONNA D. STANTON

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