36D2295477 CLIA NUMBER - NEW PATHWAYS CINCINNATI LLC

Laboratory Demographics

  • CLIA Code: 36D2295477
  • Facility Name: NEW PATHWAYS CINCINNATI LLC
  • Facility Address: 10547 MONTGOMERY RD SUITE 400
    CINCINNATI, OH
    ZIP 45242
  • Facility Phone: 513 982-6077
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHEN R. SUNTALA
  • NPI Number: 1457139537
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 36D2295477
LAB Type Practitioner Other
Facility Name NEW PATHWAYS CINCINNATI LLC
Street 10547 MONTGOMERY RD SUITE 400
City CINCINNATI
State OH
ZIP 45242
Phone 513 982-6077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Practitioner Other
Lab Director STEPHEN R. SUNTALA

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