01D0303295 CLIA NUMBER - GORANTLA S RAO MD

Laboratory Demographics

  • CLIA Code: 01D0303295
  • Facility Name: GORANTLA S RAO MD
  • Facility Address: 1425 WEATHERLY RD SE
    HUNTSVILLE, AL
    ZIP 35803
  • Facility Phone: 256 881-1111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GORANTLA S. RAO
  • NPI Number: 1578518031
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0303295
LAB Type Physician Office
Facility Name GORANTLA S RAO MD
Street 1425 WEATHERLY RD SE
City HUNTSVILLE
State AL
ZIP 35803
Phone 256 881-1111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director GORANTLA S. RAO

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