18D0974326 CLIA NUMBER - SANJIV GUPTA MD PSC

Laboratory Demographics

  • CLIA Code: 18D0974326
  • Facility Name: SANJIV GUPTA MD PSC
  • Facility Address: 300 STATE HIGHWAY 1947
    GRAYSON, KY
    ZIP 41143
  • Facility Phone: 606 474-2250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SANJIV GUPTA
  • NPI Number: 1487761243
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0974326
LAB Type Physician Office
Facility Name SANJIV GUPTA MD PSC
Street 300 STATE HIGHWAY 1947
City GRAYSON
State KY
ZIP 41143
Phone 606 474-2250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director DR. SANJIV GUPTA

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