10D0702532 CLIA NUMBER - SREENIVASA R ALLA MD

Laboratory Demographics

  • CLIA Code: 10D0702532
  • Facility Name: SREENIVASA R ALLA MD
  • Facility Address: 1801 SE HILLMOOR DR SUITE C105
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 337-9482
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREENIVASA R. ALLA
  • NPI Number: 1023022894
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0702532
LAB Type Physician Office
Facility Name SREENIVASA R ALLA MD
Street 1801 SE HILLMOOR DR SUITE C105
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 337-9482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SREENIVASA R. ALLA

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