36D2087455 CLIA NUMBER - CLEARING PATH'S THERAPEUTIC SERVICES, LTD

Laboratory Demographics

  • CLIA Code: 36D2087455
  • Facility Name: CLEARING PATH'S THERAPEUTIC SERVICES, LTD
  • Facility Address: 3440 OFFICE PARK DRIVE
    KETTERING, OH
    ZIP 45439
  • Facility Phone: 937 299-9060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENDA HANEY
  • NPI Number: 1043511975
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2087455
LAB Type Physician Office
Facility Name CLEARING PATH'S THERAPEUTIC SERVICES, LTD
Street 3440 OFFICE PARK DRIVE
City KETTERING
State OH
ZIP 45439
Phone 937 299-9060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director BRENDA HANEY

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