10D0720841 CLIA NUMBER - RATHINAM KRISHNA MOORTHY MD

Laboratory Demographics

  • CLIA Code: 10D0720841
  • Facility Name: RATHINAM KRISHNA MOORTHY MD
  • Facility Address: 301 E ROBERTSON STREET
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 689-0331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RATHINAM M. MOORTHY
  • NPI Number: 1962594747
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0720841
LAB Type Physician Office
Facility Name RATHINAM KRISHNA MOORTHY MD
Street 301 E ROBERTSON STREET
City BRANDON
State FL
ZIP 33511
Phone 813 689-0331
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 RATHINAM M. MOORTHY

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