01D0703064 CLIA NUMBER - RAMAKRISHNA VENNAM

Laboratory Demographics

  • CLIA Code: 01D0703064
  • Facility Name: RAMAKRISHNA VENNAM
  • Facility Address: 540 HUGHES RD #2
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 772-0523
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAMAKRISHNA VENNAM
  • NPI Number: 1043252331
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0703064
LAB Type Physician Office
Facility Name RAMAKRISHNA VENNAM
Street 540 HUGHES RD #2
City MADISON
State AL
ZIP 35758
Phone 256 772-0523
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RAMAKRISHNA VENNAM

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