PRIVY DIAGNOSTICS LABS, LLC

Clinic/Center — Health Service

Code: 261QH0100X

Clinic/Center — Infusion Therapy

Code: 261QI0500X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Community Health

Code: 261QC1500X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Point of Service

Code: 305S00000X

Technician, Pathology — Clinical Laboratory Director, Non-physician

Code: 247ZC0005X