10D0922415 CLIA NUMBER - VASUDEVAN KIDAMBI MD

Laboratory Demographics

  • CLIA Code: 10D0922415
  • Facility Name: VASUDEVAN KIDAMBI MD
  • Facility Address: 3200 SW 34TH AVE BLDG 300 SUITE 302
    OCALA, FL
    ZIP 34474
  • Facility Phone: 352 732-2900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VASUDEVAN A. KIDAMBI
  • NPI Number: 1093799298
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0922415
LAB Type Physician Office
Facility Name VASUDEVAN KIDAMBI MD
Street 3200 SW 34TH AVE BLDG 300 SUITE 302
City OCALA
State FL
ZIP 34474
Phone 352 732-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Physician Office
Lab Director VASUDEVAN A. KIDAMBI

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