03D2120906 CLIA NUMBER - UMA GUNNALA MD PC

Laboratory Demographics

  • CLIA Code: 03D2120906
  • Facility Name: UMA GUNNALA MD PC
  • Facility Address: 20045 N 19TH AVE, BLDG #11, STE 165
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 623 572-6791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: UMA G. GUNNALA
  • NPI Number: 1881770220
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2120906
LAB Type Physician Office
Facility Name UMA GUNNALA MD PC
Street 20045 N 19TH AVE, BLDG #11, STE 165
City PHOENIX
State AZ
ZIP 85027
Phone 623 572-6791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director UMA G. GUNNALA

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