36D2172717 CLIA NUMBER - NEUROPSYCH CENTER OF GREATER CINCINNATI

Laboratory Demographics

  • CLIA Code: 36D2172717
  • Facility Name: NEUROPSYCH CENTER OF GREATER CINCINNATI
  • Facility Address: 4015 EXECUTIVE PARK DR SUITE 320
    CINCINNATI, OH
    ZIP 45241
  • Facility Phone: 513 563-0488
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BABU GUPTA
  • NPI Number: 1801241237
  • Taxonomy: 103G00000X - Clinical Neuropsychologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2172717
LAB Type Independent
Facility Name NEUROPSYCH CENTER OF GREATER CINCINNATI
Street 4015 EXECUTIVE PARK DR SUITE 320
City CINCINNATI
State OH
ZIP 45241
Phone 513 563-0488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2023
Certificate Expiration Date 9/26/2025
Facility Type Independent
Lab Director BABU GUPTA

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This page was last updated on: 6/4/2025