18D2132457 CLIA NUMBER - CG MEDICAL ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 18D2132457
  • Facility Name: CG MEDICAL ASSOCIATES, INC
  • Facility Address: 2005 N DIXIE HWY
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 513 248-0223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHETAN GUPTA
  • NPI Number: 1043736440
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2132457
LAB Type Physician Office
Facility Name CG MEDICAL ASSOCIATES, INC
Street 2005 N DIXIE HWY
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 513 248-0223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director DR. CHETAN GUPTA

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