34D2312754 CLIA NUMBER - GARDEN PATH KETAMINE, PLLC

Laboratory Demographics

  • CLIA Code: 34D2312754
  • Facility Name: GARDEN PATH KETAMINE, PLLC
  • Facility Address: 13122 CLEVELAND ROAD
    GARNER, NC
    ZIP 27529
  • Facility Phone: 843 364-5599
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KIMBERLY D. LHUILLIER
  • NPI Number: 1245114834
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 34D2312754
LAB Type Independent
Facility Name GARDEN PATH KETAMINE, PLLC
Street 13122 CLEVELAND ROAD
City GARNER
State NC
ZIP 27529
Phone 843 364-5599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Independent
Lab Director KIMBERLY D. LHUILLIER

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