14D2299058 CLIA NUMBER - GANESHA INSTITUTE OF NEUROLOGY & PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 14D2299058
  • Facility Name: GANESHA INSTITUTE OF NEUROLOGY & PSYCHIATRY
  • Facility Address: 1850 W WINCHESTER RD - STE 115
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 816-6335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAYTA BANSAL-KAPURIA
  • NPI Number: 1134979644
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D2299058
LAB Type Physician Office
Facility Name GANESHA INSTITUTE OF NEUROLOGY & PSYCHIATRY
Street 1850 W WINCHESTER RD - STE 115
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 816-6335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director VIJAYTA BANSAL-KAPURIA

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