18D2277353 CLIA NUMBER - NEURODIAGNOSTICS / HEALTH + WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 18D2277353
  • Facility Name: NEURODIAGNOSTICS / HEALTH + WELLNESS CLINIC
  • Facility Address: 1725 HARRODSBURG RD STE 210
    LEXINGTON, KY
    ZIP 40509
  • Facility Phone: 859 278-7226
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. KASSIE POPP
  • NPI Number: 1205550621
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D2277353
LAB Type Practitioner Other
Facility Name NEURODIAGNOSTICS / HEALTH + WELLNESS CLINIC
Street 1725 HARRODSBURG RD STE 210
City LEXINGTON
State KY
ZIP 40509
Phone 859 278-7226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Practitioner Other
Lab Director MS. KASSIE POPP

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